Grounded Leadership Application
Thank you for your interest! This is for the Founder's Group of Grounded Leadership, helping high achieving Christian men move from pressure to perform to peace, power and purpose.
Basic Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How Did You Hear About Me?
*
Strong Men Strong Marriages Podcast
Book - Strong Men Strong Marriages
YouTube Channel
Facebook/Instagram Ad
Referral
Other
Do you aspire to live Christian values?
*
Yes
No
I don't consider myself Christian but agree with the values of honesty and integrity
Why do you want to join the Founder's Group of Grounded In God?
*
What are you bothered by most right now that makes you want to join the program?
*
What do you most hope to gain by joining the program?
*
What do you do for work?
*
Are you willing and able to spend 30 minutes to an hour a day on the program?
*
Yes
No
Are you willing and able to make a significant financial investment to create Grounded Leadership -- calm, confident and capable of leading your family, work and life from peace, power and purpose?
*
Yes
No
Send Dr. Mike My Application
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