First Colony 90 Day Challenge

1

Today's Date* This field is required.

Date

2

1. Your Name* This field is required.

First Name

Last Name

3

2. Your E-mail* This field is required.

example@example.com

4

3. Your Cell Number* This field is required.

Area Code

Phone Number

6

4. How long have you been at First Colony Mortgage?* This field is required.

Less than 1 year

1-3 years

3-5 years

5-10 years

10+ years

7

5. What is your ROLE in the company?Choose all that apply to you

Leadership/Ownership

Sales/Origination (Retail)

Wholesale Sales (AE/Broker Relationships)

Operations/Fulfillment

Underwriting/Credit

Compliance/Risk/Quality

8

4. What specific results do you want over the next 12 months?* This field is required.

9

5. WHY do those results matter to you?* This field is required.

10

6. What will stop you from achieving that?* This field is required.

11

7. How committed are you to your desired results?* This field is required.

I'm a 10... ALL IN, no matter what I'm achieving it (10)

I'm mostly committed (5-9)

I'm not committed (1-4)

12

If accepted to be part of the 90 Day Challenge, are you ready to invest time, energy and money to get what you want?

Yes I am committed

No I am not committed