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How did you hear about HYA? (Name of person referred, social account, podcast)

Is there anything else you’d like the HYA coaches to know about you and your work?

In a few words, tell us what you hope to get out of participating in a Mastermind Growth Group?

What is your current net income or salary? (Approximate or range is ok)

What type of business do you own or industry are you in?

How many employees/team members do you have or manage?

When did you start your business or your current role?

What is the name of the business you own or work for?

Do you consider yourself a business owner, entrepreneur or a leader within a corporation?

Email Address:

First & Last Name: