CIRCLE OF CHAMPIONS APPLICATION

Circle of Champions Application

This is the first step to secure your spot.
Personal Profile

Tell me what type of person you are.
Which Is Most Important To You:*

Growing My BusinessSaving My MarriageBeing a 5-Star ParentGetting Lean & Strong In My BodyFeeling Powerful Again
Which phrase best describes you?*

Athlete/CompetitorStrategist/TacticianArtist/MusicianTeacher/Humanitarian
Are you in shape physically?*

YesNo
How often do you workout?

2 times per week3-4 times per week5 or more times per weekZero - I don't workout
What Is Your Relationship Status:*

MarriedDivorcedSingleWidowed

How would you rate your marriage?*

	1	2	3	4	5	6	7	8	9	10

1 is Horrific, 10 is Awesome

How would you rate the relationship with your children?*

	1	2	3	4	5	6	7	8	9	10

1 is Horrific, 10 is Awesome

Are you religious or spiritual or both?*

I am religious (specific religion)I am spiritual (no specific religion)I am both spiritual and religiousI am neither (religious nor spiritual)
How often do you meditate, journal or pray?*

Every daySeveral times per weekRarelyNever

Business Profile

Tell me what type of business you are in.
Are you self-employed?*

YesNo
What industry are you in?*
Are you currently hitting your financial goals?*

YesNo
Why or Why Not?*
What's the biggest obstacle stopping you from producing more money in your business?*
How Much Money Did You Take Home In The Past 30 Days?
Tell the truth.

Goals Profile

Tell me about what you really want your life to look like.
Why are you applying to be a part of Circle of Champions? (choose all that apply)*

I need a coach/mentor to get me to the next levelI want to be around other powerful leadersI'm inspired by the message and want moreI'm just curious
If you are selected, what would the perfect outcome be for you over the next 12 months?*
Is changing your life an ABSOLUTE 'MUST' RIGHT NOW?*

YesNo
If yes, WHY? If no, why not?*
Do you want to be interviewed for a spot in Circle of Champions?*

YesNo

Contact Profile

Tell me how I can get a hold of you.
Full Name*

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

Area CodePhone Number
What timezone are you in?*
How did you hear about Circle of Champions?*
If it was a referral from a friend, what is the name of your friend/colleague?
Are you ready to invest significant time, energy and money to get what you want?*

Yes. I am willing and ready.No. I am not willing and not ready.

Commitment Profile

Tell me how serious you are about creating the life you want.
Are you willing to make a financial investment in yourself?*

Yes.No.
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Circle of Champions Application