HorsePower International

Leadership Weekend Aug 20-21 2016
Location: Pernay, Loire Valley, France
HorsePower International

Qualification Session Application
Full Name*

First NameLast Name
E-mail*
Website (Optional)
What specifically caused you to reach out to me for this workshop?*
Please explain in great detail what type of professional/career support you're seeking at this time?
Please list and explain the 3 main CHALLENGES you currently face in your career that you would like support with, AND what you think you NEED in order to overcome those challenges.
Challenge 1
Challenge 2
Challenge 3
Please list and explain 3 main RESULTS you would like to achieve in in the near future and why they are important to you.
Result 1
Result 2
Result 3

On a scale of 1 to 10, 1 meaning not committed at all, 10 meaning 100% committed to doing whatever it takes, how committed are you to creating this change for yourself? *

	1	2	3	4	5	6	7	8	9	10

1 is Not committed at all, 10 is 100% committed

How much do you currently invest in education/training/coaching/events on an ANNUAL basis?

<$1,000$1,000-$2,500$2,500-$5,000$5,000-$10,000$10,000-$20,000>$20,000
Finally, tell me why you should be considered for one of the available spots.*
Cost €1195

(includes lunch both days and Sat Dinner - lodging extra)

When you submit your application you will be taken to my calendar to book your session.
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