Fill Out This Short Form To Help Us Assess Where To Begin Your Alpha Academy 1.0 Program

Name *

First

Last

Email *

Birth Date *

MM/DD/YYYY

Birth Time (This information is important to complete your application - be ACCURATE.) *

HH:MM am/pm

Birth Location *

City, State, Country

Education Level Completed *

Religious Orientation *

Why are you interested in coaching? *

What do you hope to accomplish with coaching? *

Are you ready to dedicate at least 12 months to self-discovery and personal development? *

Are you able to invest $4,000 - $6,000 per year on self-discovery? *

What is the thing you most want to change in your life? *

On a scale of 1 to 10, how important is it for you to live the life you are meant to live? *

10 is the highest

What gives your life meaning? *

Do you believe you are living the life you are meant to? *

Are you available for a discovery call?

You must have a discovery call before being accepted to the Academy and will be redirected to the booking page after submitting application.

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