Application Form
Thank you for your interest! Please submit your application below and we will be in touch.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Phone Number *
Best Email Address *
How Did You Hear About Channel Amplifier?  *
What is your YouTube channel URL? *
How long have you been on YouTube? *
What type of content do you create? *
Are you full-time creating content? *
If no, what is your current occupation?
Do you have 4-6 additional hours per week to focus on your channel? *
What’s your current monthly revenue (in $USD)? This includes everything from your 9-5, channel and/or your business: *
What is your target monthly revenue for your channel (in $USD)? *
What's more important to you - Getting Subscribers or Getting Leads? *
On a scale of 1-10, what is your level of commitment to getting these results? 1 being not committed at all, 10 being 100% all in, there are no other options but getting this, you CANNOT go back to the way things are. *
Does your spouse, significant other and/or business partner support you? (Meaning they will give you a thumbs up on whatever you decide): *
Are you willing to invest in coaching if you feel it’s what you need? *
If accepted how soon are you looking to get started? We typically expect those who speak with us (who feel it’s a fit) to move forward ASAP on the call. *
If we speak and it's a great fit for both parties, we will ask you to make a “YES” or “NO” decision while on our call together. If you liked what you heard, are you prepared to invest a deposit after the call to reserve your place in the program? *
You’ve gotten this far, so it seems a little silly to ask if you’re going to show up….but are you going to show up for your appointment? *
Please provide us with your PERSONAL Facebook URL (the link to your FB profile) as all communications are strictly done via Facebook if your application is approved: *
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of vidfluence.com.