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Application for Coaching

Please answer all questions honestly in order for us to develop a personalized plan for you. There are no right or wrong answers!

My Personal Information

First Name*
Last Name*
Address*
Street Address City State ZIP Code
Home Phone*
Cell Phone*
Email*
Age*
Occupation*
How many hours a week can you devote to learn how to make money in real estate?*
What is your goal for learning real estate?*
- Extra income
- Save for retirement
- Quit job and invest full time
Do you have a real estate license?*
- Yes
- No
Please list any real estate classes, courses or seminars you have attended*
Have you implemented any ideas or techniques that you learned?*
- Yes
- No
- N/A
I learn new skills:*
- Easily
- With some effort
- With difficulity
My personality is:*
- Type "A" go getter
- Laid back
- Somewhere in between
I view new and uncomfortable tasks:*
- As an exciting challenge
- As something that needs to get done
- As something to let other do
I normally:*
- Complete tasks without supervision
- Complete tasks but like supervision
- Complete tasks when necessary
Household Income*
Do you own any real estate? If so, what type(s)*
How much money could you invest per month to grow your real estate business?*
- $0-$250
- $250-$500
- $500-$1000
How much capital could you raise for a good deal that you could make money with?*
How much would be your cash?*
How much would be borrowed?*
Please list your two biggest role models:*
Name 3 things you would buy if you won the lottery:*
What would you do with your time if you did not have to work 40 hours a week?*
What are your hobbies and interests?*
Any thing else you would like to tell us about yourself:
Other comments
Best day and time to contact you reguarding your profile:*
I certify that my answers are true and complete to the best of my ability:*
- Yes
- No
Phone
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