Basic Info

Your Work

Which best describes your current role?

Current role?*

Briefly describe what you do (1-2 sentences).

Your Next Level

What is your #1 goal for the next 12 months?

Your #1 goal for next 12 months*

What feels most out of alignment right now?

What feels most out of alignment right now?*

Challenges & Support Needs

Top challenge holding you back? (Choose one)

Top challenge holding you back? (Choose one)*

What support are you most seeking inside The Empire?

Leadership + identity expansion

Visibility + brand growth

Wealth & money energetics

Strategy & systems

Community + elevated circle

Private support (VIP)

Your Application

Current annual revenue (or income level)

Annual revenue or income*

Are you prepared to invest in a high-level mastermind if accepted?

Yes

Yes, pending clarity

Not at this time

Which level are you considering?

Core Mastermind (11 spots)

VIP (3 spots)

Not sure yet

Final Details

What would make the next 6 months a powerful success for you?

Anything else you want us to know?