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* 1. Name

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* 2. Phone

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* 3. Email

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* 4. City, State

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* 5. Why are you interested in becoming a Transform Labs Licensed Partner?

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* 6. Do you have a large local network?

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* 7. Can you commit to working a digital innovation business full-time?

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* 8. Can you put down a $10k deposit to become a Licensed Partner?

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* 9. Describe your level of digital knowledge and literacy.

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* 10. What is your LinkedIn profile?

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