Questionnaire for New Image and Etiquette Consultants

Thank you for your interest and intent to participate in our Certification Programs. Please take a few minutes to answer the following questions.

I will be your personal mentor and look forward to training you and teaching you the strategies for success. With my 25 years of experience as an Image, Etiquette and Communication Master, you can be assured of receiving a wealth of knowledge to jump-start your career.

Gloria Starr, Global Icon and Master Image, Etiquette and Communications Advisor Established 1983
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Your Name:

Address:

City:

State:

Zip Code:

Country:

Fax:

Phone:

Email:

Educational Background:

Current Career Highlights and Job Profile:

Have you ever been in business for yourself? Yes No

If yes, please describe:

What qualities do you possess that would be most important to you in your new career as an Image and Etiquette consultant?

Do you have any experience speaking in front of groups or teaching?

What strengths, talents and skill sets do you currently have that will benefit you in your new career

Your new business will be: Part-time Full-time

List a few of your personal and business strengths:

What areas of your personal and professional development do you need the most assistance with?

What are your income goals with this new career?

What style of office are you planning? Home-based Go to clients home Studio

Where do you see yourself professionally in five years?

What would success look like in your new business?

Sex:Male Female

Age Range:

How much time are you prepared to spend on your new business venture?

What is your current lifestyle?

Activities you enjoy:

What are the last three books you have read ?

How can we best help you achieve your goals in your new business?

Additional comments you would like to share:

Training Program Selection:

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Ms. Starr will personally be in contact with you soon!

Your next step is to register for the Certification Training Program by making your deposit by credit card or wire transfer of funds.
Five day Impression Management, Image and Style $8500.
Five day Etiquette, Fine Dining and Entertaining $8500.
Ten day Impression Management, Image and Style, Etiquette, Fine Dining and the Business and Social Graces Certification Program $16000. (this represents a savings of $1000. when registering for both programs at the same time) PLUS when you register for both training programs you are also invited to attend Ms. Starr’s Modern Day Finishing School as her guest! This weekend Finishing School has a value of $3850.

FULL payment within five days of submitting this questionnaire to Ms. Starr will reflect a 5% courtesy discount. The investment in the training is a tax deduction for you as you begin your new business. *All investments on this web site are quoted in US dollars.
Gloria Starr International Company Policy: If you are unable to attend the program you registered for, you may transfer your enrollment investment to a future program. We are unable to issue a refund for any reason.