Coaching Program Application
Welcome to a supportive and safe space for the LGBTQIA+ community to discuss finances.

Samantha is so excited to work with you! Let's just get through a couple of questions to make sure that Broke and Gay Mastermind is the best option for you.

Make sure to book your consultation call at the end and if your application is not accepted we will cancel the appointment for you.

*Must be 18+ to apply
Email address *
Preferred Name *
Last Name *
What are your preferred pronouns? *
Are you 18+? *
What's your instagram handle? *
Do you have another person who should be involved in this process too? If so, please make sure they can make the call that you schedule at the end of the survey.
What do you do for work? *
What is your monthly income after taxes? *
How much debt do you have? *
How much savings do you have? *
What are your biggest money challenges? *
What are your goals in life and how does money play a role in them? *
What are your biggest struggles right now, when it comes to achieving your goals? *
How did you hear about The Money Institute? If a friend referred you please add their name in the other box.
Clear selection
Are you ready to invest in yourself and have your finances completely transformed? *
Is there anything else that you think I should know? *
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