Agency Partner Program Application

1
How Are You?
2
How Much Does Your Avg. Client Pay You Each Month?* This field is required.
< $500
$500 - $1,500
$1,500 - $2,500
$2,500 - $5,000
$5,000+
3
How Many Active Clients Do You Have Right Now?* This field is required.
0
1-2
3-5
6-10
11 - 20
20+
4
How Much Is A Client Worth To You Each Month?* This field is required.
5
How Many Clients Do You Work With Right Now?* This field is required.
6
How Do You Currently Generate New Leads For Your Agency?* This field is required.
Cold Email
Speaking
Networking
Referral
Facebook Ads
Social Media
Events
Other
Random Things Here & There
I'm Not Really Getting New Leads
7
How Fast Would You Like To Grow?* This field is required.(This will determine how many new leads you need each month to grow)
Slow
Fast
Super Fast
8
What's Your Current Monthly Revenue?* This field is required.
Less than $8,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000+
9
90 Days From Now, How Much Revenue Do You Want To Be Making?* This field is required.
Less than $8,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000+
10
When Did You Start This Business?* This field is required.
Less than 1 year ago
1 - 2 years ago
2 - 5 years ago
5 - 10+ years ago
11
What's The #1 Biggest Problem You Need To Solve In The Next 90 Days?* This field is required.Could be anything. Doesn't have to be "getting clients" or "getting leads".
12
How Painful Is This Problem For You?
13
What Else Keeps You Awake At Night?* This field is required.
14
Do You Have Funds To Invest Into Ad Spend And Client Acquisition?* This field is required.
Yes!
No
15
What Is Your Current Budget To Acquire Your Next 5 Clients?Assume Each Client Is Worth $30,000 Per Year And That 5 New Clients Clients Would Be Worth ~$150,000/yr
< $1,000
$1,000 - $5,000
$5,000 - $10,000
$10,000 - $25,000
$25,000+
16
If we help you achieve your goals, and aggressively scale your agency, how soon can you get started?
I'm in no rush, I'm just curious
Within a month
2 - 4 weeks
1 - 2 weeks
I'm ready to start right away
17
This program requires a financial investment. Are you in a place financially to invest into the growth of your agency?
Yes, I have the financial resources available to invest into my business.
No, I don't have the financial resources to invest & I"m happy with my results
I can GET the financial resources
18
What Niche Do You Specialize In?* This field is required.Or what Niche would you like to get more clients in?
19
On A Scale Of 1 - 10 How Much Do You Love The Clients You Are Attracting Right Now In Your Niche?* This field is required.
"I want higher paying clients"
"I love the clients I'm working with now"
20
What Do You Typically Sell And Why Do Your Clients Work With You?* This field is required.The more you tell us the better we'll be able to serve your in building your agency funnel and ad campaign.
Small
Normal
Large
Huge
Ok
Ok
21
What's Your Name?* This field is required.
First Name
Last Name
22
What Is The Name Of Your Company?* This field is required.
23
What Type Of Business Entity Do You Have?* This field is required.
Sole Proprietorship
Partnership
Corporation
S Corporation
LLC
24
What's Your Business Email?* This field is required.
example@example.com
25
What's Your Business Phone Number?* This field is required.
Area Code
Phone Number
26
What Is Your Business Address?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
27
What Is Your Facebook Profile Link?* This field is required.
28
GREAT JOB! Let's Get Your Agency Partner Program Application Call Scheduled!

Please be prepared to share open and honestly about what is and isn't working for you right now in your agency.
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