Application Form

Name *

First

Last

Email *

Phone *

City *

State/Province *

Country *

Main Industry Sector *

If you chose “Other” above please enter your industry here.

Do You Currently Own A Business? *

Yes
No

If you're an owner, do have partners or investors?

Partners
Investors
Both Partners & Investors
Negative… I’m single and ready to mingle!!!

Annual Revenue (owners)

*Question for owners so we can place you accordingly.

Employees

*Question for owners so we can place you accordingly.

Main Struggles At The Moment

Have You Ever Been Part Of A Mastermind? *

Yes
No

If yes, which Mastermind(s) were you a part of?

*These questions help to give us an idea of where you’re at.

What did you like about the Mastermind(s)?

*We will try to do these things.

What did you dislike about the Mastermind(s)?

*We will try not to do these things.

Why did you stop attending them?

*We’ll take a bazooka to these issues for you.

Do you consider yourself coachable? *

Yes
No

If you've taken any personality tests, please enter the results below.

*This is so we know how to best coach you.

Which of the following would best describe you? *

Logical
Emotional
Both Logical & Emotional

How often do you practice the ancient art of self-education? *

How much have you spent on self-education over the past decade? *

How much do you want to be making per year personally? *

How hard are you willing to work to hit that goal? *

It's three(3) years from now. What do you hope this program will have helped you to accomplish in both your business and your personal life? *

*Actually think about it!!! This is EXTREMELY important…

If we can help you accomplish this, will you be our best friends forever and ever? *

Yes, because I love people who help me accomplish my dreams.
No, that’s stupid.

What do you want to be when you grow up? *

Please enter the appropriate contact information for anybody else who you think might be interested in joining this program…

*You will be their new best friend until the end of time.

Do you have any additional questions or comments?

*Price will be discussed during your application interview. But just to calm your nerves a little, we’ll let you in on a little secret. The price is so ridiculously low compared to what most people expect, we actually get mildly embarrassed when we tell people. The value that you’re getting in this program is absolutely and certifiably INSANE!!! If you don’t make at least 100x your investment from the information, connections, and opportunities in this program, we will consider ourselves absolute failures and probably just go work at McDonald’s.

YOU’RE ALMOST THERE…