The 444 Shift™ Application Form

The 444 Shift™ Application Form

Welcome to The 444 Shift™! This is your first step toward reimagining, rebuilding, and rising into your most aligned life. Please complete this application with honesty and intention. Only 10 applicants are selected per quarter.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email Address
Preferred Method of Contact

EmailTextIG DM
Where are you located (City/State or Country)?
What are your top 3 personal or professional goals right now?
What’s currently holding you back from living your most aligned life?
Have you ever worked with a coach before?

YesNo
If yes to previous question, what was the experience like?
Why do you believe The 444 Shift™ is the right fit for you right now?
Are you ready and available to commit to 1 Zoom session per week for 8 weeks?

YesNo
On a scale of 1–10, how ready are you to transform your life?
On a scale of 1–10, how ready are you to transform your life?

1

2

3

4

5

6

7

8

9

10

1 is Not Ready, 10 is Fully Ready
Are you open to attending future in-person Life Alignment events?

YesNoMaybe
How did you hear about this program?

IGWebsitePodcastReferred by friendOther
Is there anything else you’d like us to know?
Video Submission Instruction:

Since Google Forms doesn't support direct video uploads, add a Section Header with the following instruction:

Video Submission: Please record a 2–3 minute video introducing yourself and sharing why you feel ready for this transformation. Email your video to startnow@lifealignmentarchitect.com or provide a shareable link (e.g., Google Drive, YouTube) in the field below.
Paste video link here (optional):
Should be Empty: