EMBA Scholarship Application Form

EMBA Scholarship Application Form
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
How did you hear about us? *
Have you ever joined us in a webinar? *

Yes No
What do you currently do for work? *
What is your current monthly income? *
Are you happy with your current income? Why? *
What is your 6 month goal? *
Why do you feel like now is a good time to join our academy? *
How many hours are you realistically able to commit every week to learning and implementing our business model? *
We receive hundreds of applications each month. Why do you feel like you would be a good fit for our academy? *
What is your current credit score? *
Are you a current Spectacular Academy Undergrad Accelerator student? *

Yes No
Do you currently hold a degree or certification, if so which ones? *
Name of Applicant

First Name Last Name
Applicant's Signature

Clear
I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Date Signed by Applicant

Month Day Year
Date
Should be Empty: