Online Coaching Program Application Form

Online Coaching Program Application Form

Please fill out the form below so we can make the most of our call and I can assess whether you’d be a great candidate for the program. Don’t push this off for later. I work with action takers. Do it now and be honest with yourself about your answers.
Name *

First Name Last Name
Email *
example@example.com
Current Occupation *
City & Province of Residence *
Phone Number *

Area Code Phone Number
Which agency (or agencies) have you applied to, or will apply to? (If any) *
What tests have you done before? (check all that apply) *

PARE POPAT (BC) POPAT (Sask) PREP A-PREP PIN SOPAT COPAT (AB Corrections) None
What is the single most important goal you want to reach right now? Be specific. It doesn't just have to be a physical goal. *
What challenges are you facing to reach your goal? *
What fitness training have you tried in the past and why hasn't it worked for you? *
Does your spouse or partner support you in your goal? (Meaning they will give you a thumbs up on whatever you decide) *

Yes No N/A
This is the most comprehensive coaching program for passing your fitness test. I only work with the most committed people that are READY to make a change. Why do you think you'd be a good fit for my program? *
The coaching program is also not a short term solution. The program is designed to help you build a foundation for not only your fitness test, but for your dream career. This means being able to commit for the long term. Can you commit to at least 3 months of coaching?

Yes No
This opportunity requires an investment in yourself and your career. If you're ready to make that investment please answer the following that best describes you? *

I have no financial resources at all and I'm not willing to invest in my body. I have access to the financial resources (credit cards, PayPal credit, etc.) and I'm willing to invest in myself for the right program. I have the financial resources and I'm willing to invest in myself.
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