Coaching/ Mastermind Groups with Jane

Thanks for your interest in becoming a part of a Coaching / Mastermind group with Jane. While there are no specific requirements for selection, groups that work best together are characterized by these qualities:

  • Creative talent
  • High standards
  • High motivation
  • Goal-orientation
  • Passion about your work
  • A desire for success
  • Willingness to take suggestions
  • Full accountability
  • Drive to fast-forward your business

Your application will be processed within 1-2 days of its receipt. 

Please fill out and submit the following form to apply.

*Name:
Business Name:
Industry:
Street Address:
City:
State:
Zip:
Business phone:
Home:
Cell:
Fax:
*E-mail Address:
Website:
Number of years
in your business:
Reason for participation: (1-2 sentences)
Major goal:
(25 words or less)
What one thing would
you most like to
accomplish in the next 6 months?
(25 words or less)
Are you willing to be
held accountable for
one committed goal
each month?
Yes No
What unique quality
will you bring to the
Coaching / Mastermind
group?