RISE Inner Circle Application

1
Name* This field is required.
First Name
Last Name
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Email* This field is required.What's the best email to reach you at directly?
example@example.com
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Phone Number* This field is required.What number shall I call you at for our interview?
Area Code
Phone Number
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How long have you been acting in Film & Television?* This field is required.
New/Aspiring Actor
Less than 3 years
Less than 6 years
More than 10 years
5
Imagine that we're talking 3 months from now about the progress you've made as an actor and we're having a HUGE celebration...what accomplishments do you envision celebrating together?* This field is required.
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What factors or obstacles OUTSIDE of you could prevent you from accomplishing the goals you just shared?* This field is required.example: my job takes up too much of my time, I may not have the money to invest, my partner/family doesn't support my dreams.
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What factors or obstacles WITHIN you could prevent you from accomplishing the goals you just shared?* This field is required.example: I'm terrified!, I get easily overwhelmed, I don't feel ready.
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Have you tried to address these obstacles before? What got in the way?* This field is required.
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How can I support you in overcoming these external and internal obstacles? * This field is required.
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Tell me how your work as an actor will impact the world? What changes do you want to make (big or small) through the stories that you tell?* This field is required.
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Are you currently making the difference you want to make?* This field is required.
YES!
Sort of...
Not yet.
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Are you serious about making the difference you want to make in the world?* This field is required.
YES! 100%
I'm not sure.
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You've shared a lot about your goals. Why are they important to you NOW?* This field is required.
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If selected, what are the reasons you will be committed to working harder than anyone to accomplish your goals and making the impact you want to make?* This field is required.
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Tell me what's working well in your career...* This field is required.
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Tell me what's NOT working well in your career...* This field is required.
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Are you looking for a mentor to help you book starring roles in film & television, breakthrough your negative mind chatter, connect with industry power players and crush your auditions in the next 3 months?* This field is required.
YES. I invest in myself often. I know it’s how I can continue to grow as an actor and I am ready to be coached!
Maybe. I haven’t played “all in” before and I’m nervous, even though I know something has to change in order for me to book more work.
I’m not ready to invest right now. I’ve taken a bunch of other courses that didn’t give me any results. But please send me all the free info you have on how I can book more work.
18
Are you aware that the investment for this program is $4500? (Don't worry, I offer flexible monthly payment plans.)* This field is required.If your answer is "NO" or if you are unable to make that investment at this time, please come back when you are.
YES! 100%. I am able to participate ASAP! Like THIS MONTH!
NO. I am not ready or able to make this investment at this time.
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OPTIONAL: Share any links supporting your application. This can include links to your website or blog, your social media platforms, letters of recommendation or testimonials, or anything else you think will help me in making my decision.
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By clicking submit I understand that...* This field is required.By clicking submit I understand that I am applying for a coaching program that requires an investment of $4500 and requires a 3- month commitment. YES! Convenient PAYMENT PLANS ARE AVAILABLE as well as pay in full discounts. Even if I am TERRIFIED, I am willing and able to make that commitment IF I am selected to participate. After I click submit I will be connected to a calendar page to set up an appointment to talk with Christine Horn. After booking my appointment, I understand that Christine's team may contact me to cancel that session IF I do not qualify for the coaching program at this time.
YES.
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