Real Men 300 Funnel Application

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BECOME THE MAN GOD MADE YOU TO BE

BECOME THE MAN GOD MADE YOU TO BE

Please take 5 mins. to honestly complete the application below. We are VERY SELECTIVE on who can join the Real Men 300. If you qualify, we will reach out to you (via text or email) to better understand you and your situation and to see if you're a good fit for our program. NOTE: All of your responses are confidential..

16Questions

1
How did you find us?* This field is required.
Facebook
Dr. Joe's Podcast/Interview
Google Search
All-Pro Dad
Real Men Connect Website
Iron Sharpens Iron Conference
YouTube
Promise Keepers
Referred by a friend
Referred by a counselor/pastor
2
What's your age?
3
What's your relationship status?
Married
Divorced
Separated
Single (Never Married)
4
Do you have any children?* This field is required.
YESNO
5
When it comes to TAKING ACTION, which best describes your PERSONALITY?* This field is required.
I almost never follow through
I'm often afraid to take action
I usually over analyze things
I'm usually quick to take action
6
What is your greatest area of FRUSTRATION or area of greatest desired CHANGE in your life right now, and WHY?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
7
What is your biggest FEAR as a man?* This field is required.
8
Since we are highly selective, WHY do you REALLY want to be in the Real Men 300 and participate in a potentially LIFE-ALTERING program like this one?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
WHAT is calling you to be in a BROTHERHOOD like this...what are you hearing from GOD in your spirit...what WORDS specifically?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
10
Check how you personally feel about each of the items below:* This field is required.
Don't Have
Not Satisfied
Very Satisfied
Your personal relationship with CHRIST
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
COMMUNITY of godly men in your life
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
CLOSE group of godly men (2-3) you trust
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
COACH/MENTOR(S) you can depend on
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
COUNSELING you've received
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Your personal relationship with CHRIST
COMMUNITY of godly men in your life
CLOSE group of godly men (2-3) you trust
COACH/MENTOR(S) you can depend on
COUNSELING you've received
Don't Have
Row 0, Column 0
Not Satisfied
Row 0, Column 1
Very Satisfied
Row 0, Column 2
Don't Have
Row 1, Column 0
Not Satisfied
Row 1, Column 1
Very Satisfied
Row 1, Column 2
Don't Have
Row 2, Column 0
Not Satisfied
Row 2, Column 1
Very Satisfied
Row 2, Column 2
Don't Have
Row 3, Column 0
Not Satisfied
Row 3, Column 1
Very Satisfied
Row 3, Column 2
Don't Have
Row 4, Column 0
Not Satisfied
Row 4, Column 1
Very Satisfied
Row 4, Column 2
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11
IF the Real Men 300 is exactly the kind of BROTHERHOOD you were looking for and assuming YOU ARE ACCEPTED, are you READY and WILLING to invest at least $97/mo. ($3.12/day) in yourself and your future as a husband, father, and spiritual leader?* This field is required.
Yes, I'm very serious
No, I'm just not ready
12
Name* This field is required.
First Name
Last Name
13
Email* This field is required.
example@example.com
14
Phone Number* This field is required.
Area Code
Phone Number
15
City & State (or Country if outside the U.S.)?* This field is required.
16
Please verify that you are human* This field is required.
Should be Empty:

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