Participant Intake Form

Days

Hours

Minutes

Welcome to Powerful Prospecting!

This short form helps us tailor your experience and ensure we have all necessary details on file before the series begins.

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

Participant Info

Your Name*

Best email for course materials and reminders*

Company Name*

Job Title / Role*

Year of Experience in Sales*

Industry You Serve*

(e.g., SaaS, AgTech, Financial Services, Healthcare, Marketing, Manufacturing, etc.)

What's your primary goal for joining this course?*

What’s your biggest challenge with prospecting right now?*

What do you hope to walk away with by the end of this course?*

Course Participation Agreements

Media Release*

This is a live, interactive course where photography and video may be used for educational and promotional purposes. By enrolling, you agree to be recorded or photographed during sessions, and you authorize Bolster Biz Dev to use those materials in marketing and educational content.

I have read and agree to the media release terms.

Code of Conduct*

We’re committed to creating a supportive, distraction-free, and inclusive environment for every participant. By joining this course, you agree to show up on time, engage respectfully, and keep session content confidential unless otherwise shared publicly by the instructor.

I agree to uphold the course code of conduct.

Use of Materials*

Course materials are proprietary to Bolster BizDev and are copywritten for personal use only. Distribution, reproduction, or resale without written permission from Bolster Biz Dev is prohibited.

I have read and agree to the confidentiality terms.

Confidentiality*

Participant discussions and shared business challenges are considered confidential. You agree not to record or share any proprietary content or participant information without permission.

I have read and agree to the use of materials terms.

Referral & Relationship

How did you hear about Powerful Prospecting?*

(e.g., LinkedIn, email, event, friend, colleague, podcast, etc.)

Is there anyone we can thank for referring you?*

If yes, who?*

We love to give credit where it’s due.

Taking advantage of the BUDDY BONUS?

Drop your friend’s full name below so we can pair you up for your shared session. And don’t forget to remind them to list your name on their form, too!

How do you know Jennifer, if at all?

Optional—but we’d love to know if you’ve crossed paths before.

Interested in a 20-minute meet and greet with Jennifer?

Yes

Participant Intake Form

Welcome to Powerful Prospecting!

Participant Info

Course Participation Agreements

Referral & Relationship

Useful Links

Our Social Media