PLEASE COMPLETE THIS APPLICATION TO CONTINUE

Please read and fill out the below form carefully. All positions are contingent upon availability based on a “first come-first serve basis.”

1. Do you understand the importance of learning the secrets of success from successful people?

 YES
 NO

2. What are you used to making on a weekly basis?

 $1,000 or less
 $1,000 to $2,000
 $2,000 to $4,000
 $4,000 to $7,000
 $7,000+
 Other

3. How much would you like to make on a weekly basis?
 $1,000/week
 $2,500/week
 $4,500/week
 $8,000/week
 Other

4. What interests or hobbies do you have that you would like to have more time and money to enjoy?


5. Can you devote at least 3 hours per week to training, person and professional development?

 YES
 NO

6. If you became a millionaire, where would you live? City, Beach, Mountains? What city, state, country?


7. If you became a millionaire, what does your average day look like?
What would you do?


8. If you became a millionaire, who would you help? Friends? Family Members?
Spouse? Charities?


9. I receive a large amount of applications each and every day. Is there anything you would like me to know about you that makes you stand out from the rest of the applicants?


10. Given the chance that you will be approved, and you are the type of person that I am looking for, fill in an amount with your realistic 30 day income goal:


11. First and Last Name:
12. Email Address:
13. Phone Number: