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Roar Board Application

Please fill in the following form to apply for a spot on the ROAR Board nearest you. If there are more than one ROAR Boards running in your area - we will telephone you to find your preference. We will notify you with 48 business hours to let you know if your application has been accepted.

Full Name:
Address
City
Province/State
Phone number
Business Name and Description
Email Address:
Website URL
I have been in business more than 12 months Yes
No
Approximate gross yearly income
Personal income from my business
12 month goal (if you have one)
Have you ever received business coaching Yes
No
If so, please tell us how many sessions and if it was helpful
Do you have an administrative assistant? Yes
No
Is your business currently profitable? Yes
No
Don't know
Are you a Roaring Women Member? (If not please follow the directions in the reply email after you have submitted this application) Yes
No
I am interested in the following: Roar Board -$150/month
Roar Board + 1 on 1 Coaching (once a month)$300/month
I am applying to be a member of a Roaring Women ROAR Board and understand that my $99 application will be refunded if I am not accepted as a ROAR Board Member. I agree that if I am accepted that I will commit to 12 months participation. I agree
I do not agree

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