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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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?*$0-$5000$5000-$25,000$25,000-$50,000$50,000-$100,000$100,000+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 commentsBest 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 EmailThis field is for validation purposes and should be left unchanged. Δ
