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First name
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Birthday
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Day
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Are You Legally Operating
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State Licensed
Completed Certificate Hours
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Company name
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On average, what's your current monthly income from services?
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Under $2,000
$2,000 - $5,000
$5,000 - $10,000
$10,000+
What is your main motivation for joining this program? (select all that apply)
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I want to earn 6 figures
I want to structure my business properly
I want to qualify for funding
I want to scale my services
I want to elevate my brand
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