Thrive Program Application Form

Please Fill Out This Easy Application In Its Entirety

"Yes, I am interested in taking my life and/or my business to the next level! Please consider my application for the coaching program and, if accepted, book my appointment for an appointment with your team to find out if I'm a good fit for the Thrive Program."

"I understand that you are currently waiving the required $100 application fee, and give my commitment that I will show up for my discovery call, once scheduled."

Please complete this confidential profile and submit it and the deposit as soon as possible. It is important that we receive your fully completed and refundable deposit before we can move forward.

Please submit your completed form by hitting the "Click to Apply" button at the bottom of the form. In order to protect your privacy, DO NOT EMAIL THIS FORM. This page uses 100% secure encryption to protect your sensitive information.

First Name

Last Name

Phone Number

What are the 3 goals you want to achieve in the next 12 months?

What are the biggest challenges you are facing right now?

Name the key people in your life and what they provide for you

Rate Your Business Experience (1-5)

How many hours do you work weekly?

How many hours do you WANT TO work weekly?

How many businesses do you currently own/control?

If in business, list your main business websites:

If in business, describe your avatar (your ideal client):

If in business, what products/services do you offer (big picture):

What is your current gross income?

Do you have any other sources of income that will be financially supporting this program if accepted?

What is your desired income goal in 12 months?

What would you say have been your greatest accomplishments to date?

What is the most attractive aspect to you about joining the Thrive Program?

I am willing to contribute to and to give and receive help for the mutual benefit of all the members of the Thrive Program group (5 = highest)

I will invest in tools, systems and education to grow my business (5 = highest)

Mastermind groups of successful leaders are essential to my success (5 = highest)

What will you bring to a mastermind group?

Have you ever been in a coaching/mastermind program before?

If so, with whom?

Briefly describe why you feel that you would be a good candidate for this program

If selected, I would like to schedule my NLP Personal Breakthrough Session with with an NLP Master in the following month:

First Choice:

Second Choice:

Would signing up for a high-end program like this put you in financial distress? (Enter yes or no. If yes, please explain)

Once you have completed the application, someone from our team will contact you to book your consultation call.