APPLY FOR THE ACADEMY
Fill the form as completely as possible to help us tailor the experience to your needs.
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Email address
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Your email
Would you consider attending at least one in-person event during or after the program?
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Yes, I'll be there
Sorry, can't make it
Other:
Will you be able to attend online calls? (We use the ZOOM App which is free to download on phone, tablet or computer)
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Yes
No
Yes but I would need guidance
What is your full name?
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Your answer
Postal Address
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Mobile Contact number
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Your answer
Name 3 key areas you would like help with.
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Your answer
What is your biggest struggle at the moment?
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Your answer
How did you hear about this program?
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Website
Friend
Newsletter
Virtual Summit
Other:
Comments and/or questions
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Price: £249 Full Program or £129 Lite Program. Make payment into https://www.paypal.me/cnaccerleratepgm
Pls note: First come, first served
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