CREATE Program Application Form
Are you ready to receive all the benefits of the CREATE program?

Are you ready to work hard to experience your own incredible transformation over the next year?

Are you ready to make the commitment to yourself for this year-long journey?

If so, then please proceed…

The two-step application process required to participate in the CREATE program is quite simple. First, please review the following questions and hit Submit. You will receive a response within 72 hours.

If your answers to the questions below suggest you might be a good fit for the program, we will schedule a live interview. This interview will be in person, if geographically possible, or via Skype.

Spend some time with this and let your deepest truths come to the surface as you consider each question. This process is the beginning of your journey…

Full name
Your answer
City & State
Your answer
Phone number
Your answer
Email address
Your answer
In what areas do you feel stuck in your life? What’s NOT working for you?
Your answer
What do you REALLY want to create in your life?
Your answer
Why do you think you haven’t reached these goals?
Your answer
On a scale of 0-10, how committed are you to making positive changes in your life?
Your answer
What is the cost for you if you stay stuck where you’re at?
Your answer
How do you feel the CREATE program will help you achieve your goals?
Your answer
Do you have any questions for us about the CREATE program?
Your answer
Submit
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