Let's see if we're a good fit...
Please fill out the application so that I can get to know you a little better. Take your time, be thoughtful and as descriptive as possible with your answers.

Once you submit your application you'll be directed to schedule a Discovery Call so we can chat a bit and see if we're a good fit to work together.

Looking forward to talking to you soon.
Full Name *
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Mailing Address *
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Phone Number *
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Email Address *
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Website *
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Program You're Applying For: *
Describe yourself in 3 sentences. *
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What are 3 important things happening in your personal world right now? *
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What are 3 important things happening in your business world right now? *
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What skills, experience, expertise, knowledge or resources do you want to share most with the world? *
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What obstacles are you facing that you want help with? *
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What is it costing you to NOT address these obstacles? *
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What do you most want to accomplish, create or experience in the next 90 days? *
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What personal development work that you have completed in the past, do you feel has had the greatest impact on you? *
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Briefly describe why you are a great candidate for this program. *
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Will the time or financial investment in these programs cause any undue stress on your cash flow or personal obligations? *
Is there anything else you’d like to share with me that I haven't asked?
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