The 1% Path Access Request Form

The 1% Path Access Request Form

The Legacy Lab Institute
This form is the official way to request access to The 1% Path Program. Please fill out all required fields carefully. Submissions sent via email or social media messages WILL NOT be reviewed. Completion of this form does not guarantee approval. Only applicants with the right mindset and commitment will be considered.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Occupation / How do you currently earn income?*
Current challenges / roadblocks you are facing? (if any)*
Why do you want to join The 1% Path?*
Have you attempted to exit the 9–5 system before?*

YesNo
On a scale of 1–10, how committed are you to doing the work necessary to build freedom and wealth? Scale (1 = Not committed, 10 = Fully committed)*
Do you have a willingness to follow a structured path for at least 12 months to achieve your goals?*

YesNo
Do you have the financial means to invest in The 1% Path Program if approved & accepted?*

YesNo
Are you prepared to take immediate action on your customized 1% Path once approved & accepted?

YesNo
Do you have a End Goal / Vision for your life and/or business?*

Yes, I have a clear End Goal & VisionI have an idea of my End Goal/Vision. I need assistance to finalize it.No, I do not have a End Goal & Vision, or an idea.
What is you approximate annual income?*

Under $25k$25k–$50k$50k–$100k$100k+
If you’d like to share a brief note about yourself, do so here. (Please keep it under 150 words)
Should be Empty: