Spacific Business Coaching

SPACIFIC

SPACIFIC COACHING

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Name *

First

Last

Email *

Contact Number *

Are you a Pacific person? (Samoan, Tongan, Cook Island, Niuean, Fijian, Rotuman, Tuvaluan, Kiribati or other Pacific ethnic group) *

Yes No

What Pacific ethnic group (s) do you identify with? *

Samoan Tongan Cook Island Niuean Tuvaluan Tokelaluan Fijian Rotuman Kiribati Hawaiian Tahitian Ni Vanuatu Solomon Islander Other

Are you living in New Zealand? *

Yes No

Where do you live/ reside? *

New Zealand Australia Samoa Fiji Cook Islands Vanuatu Solomon Islands Tuvalu Niue USA - Hawaii USA - Mainland American Samoa Other

Do you have a business idea? Are you ready to start a business? *

Yes No

What is your business idea? What type of business do you want to start? *

Have you started a business and/ or already in business? *

Yes No

If you are in business - what is your business name? *

If you are in business - Tell us more about your business - what products/ services do you sell? What industry are you in? Etc. *

Are you working full time in your business? *

Yes No

Do you have other information to share about your business/ business idea, experience, skills, personal situation & background? *

Why are you interested in our Business Coaching Services? *

I agree to receiving marketing and promotional materials *

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