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Accelerate Group Coaching Application

Please complete this application in full so that I can get to know you better. When you submit this form, you will be asked to book an application review call so we can answer your questions, ensure the program is a good fit for you, and then get you started.

First Name*

Last Name*

Email*

Phone*

Organization*

Organization's Website (URL)*

Tell me about you and what you do.*

What do you want to achieve in the next 6 - 12 months? What is your goal for 3 years from now?*

What is your biggest challenge? How is it stopping you from taking action to achieve your goals & dreams?*

There are 4 Factors needed for your success...check all that apply to you*

Ready (to take action, be accountable, be open to opportunities)

Willing (to take action, do what it takes)

Able (financially, bandwidth, resources etc.)

Mindset (Open to opportunities and possibilities)

Please mark the checkbox below to acknowledge that you are aware that our coaching, mastermind. membership, and VIP Intensives are paid programs. After submitting this application you will be contacted by telephone to discover which of our programs are right for

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You will be taken to our online scheduler when you submit this application so you can book your Application Review Call. Please allow at least 24 hours so we can review your submission.