Mike LeMieux Social Media Coaching Application
Thanks for your interest in Mike LeMieux's social media and business coaching program!

Mike's coaching program is for teachable, motivated action-takers, who are ready to achieve their goals and have massive success!

After reviewing your application, you will be contacted to discuss the opportunity in further detail, making sure we are a mutual fit.

The individuals and businesses that have completed Mike's training program have gone on to make millions of dollars and gain millions of followers. They experience significant shifts in their business and life, helping them fulfill their maximum potential and reach their dreams.

Thanks and have a great day!
Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Instagram Username *
Your answer
What industry are you in and what do you or your business do? *
Your answer
Are you a driven person that will see things through to the end and not give up? *
Are you willing to commit an appropriate amount of time to learn and grow your business? *
What is the #1 challenge you are facing in your life and business? *
Your answer
What is your #1 goal for a coaching program like this? *
Your answer
How much money / revenue do you / your business make each year? *
Your answer
What would you like your revenue to be for the next 12 months? *
Your answer
Imagine 12 months from now - what does success look like to you? Where are you and what are you doing? *
Your answer
Do you believe in yourself and believe you can accomplish your dreams? *
Why is RIGHT NOW the best time to start? *
Your answer
Are you ready to make a financial investment in a coaching program that will help you grow your business to finally get the success you deserve? *
Do you need to talk to a spouse or business partner before making financial decisions? *
If you could ask me one question what would it be? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of The Shine Project. Report Abuse - Terms of Service