My Gutsy Dream
an unscientific view into the hearts and minds of everyday entrepreneurs
Submit Your Story

To participate in this research or be included in the resulting book and/or articles, you must agree to the terms listed below, and complete the questionnaire:

Legal Release

I hereby grant Faris Alami use of my name, company name, web address and responses to the questions herein to be used, published, presented and copied in print and electronic forms of the development of his book on Entrepreneurship (Working Title: "My Gutsy Dream") and any print or electronic marketing or promotional materials for said publication and/or presentation when completed and published.

I have agreed to share personal and professional information in response to the questions herein. I understand that Faris Alami will retain any and all copyright or performance rights for the material, including partial or complete use of my responses to the questions herein, and irrevocably grant Faris Alami full rights of use of my responses for publication and copyrights, without any compensation to me.

I hereby release Faris Alami  from any and all legal claims and understand that this release is irrevocable by me so that Faris Alami  may proceed in full reliance thereon. I also understand that responding to the questions herein, and submitting said responses does not guarantee my responses or information will be included in the final publication.

I do hereby release Faris Alami and his employees, agents, assignees, or designees, from any and all claims and demands arising out of or in connection with the use of any part of my responses to the questions herein, including by not limited to, any claims for defamation, libel, invasion of privacy, plagiarism or right of publicity.

Contact Information

Share your story. By completing this form and clicking "submit," you agree that you have read, understand, and will abide by the Legal Release as stated above. Your responses and contact information will be sent to us via email. Should we require clarification or additional information, we will contact you by phone.

First Name:
Last Name:
Company:
Address:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Website


My Story in 300 words or less:

Describe your personality as a child:
What led you to the choice of entrepreneurship?
What are your measures of success and failure?
How does the business you have today differ from your original vision?
What do you love/hate about being an entrepreneur?
Define "Entrepreneurship" from your point of view:
Comments: