Accountability Group Application Form

Name*

Email*

Phone*

What do you want to get out of this call?

What are your 12 month business goals?

What are your personal goals for the next 12 months?

What do you want to get out of the Accountability group?*
Select all that apply.
You want to tap into the power of a group of like minded individualsYou are feeling overwhelmed, overloaded, overworked and need helpYou know you can do moreYou are ready for more focus and directionYou want to soar past extraordinary into something greaterYou want and are willing to be challengedYou want to help others grow and develop themselvesYou want to overcome the hurdles that hold you back from achieving your goalsYou need help staying consistentYou want to succeed!Other

Are you willing to support other members and provide valuable feedback?
YesNo

Why is now the right time to join an accountability group?

Tell us one awesome thing about you! (We believe in sharing and declaring our magnificence!)

Where you referred to this group? If yes, by who?

Is there anything else you would like us to know?

A link to set up a video chat will be sent to you shortly. For the video chat, please ensure you have a working computer/tablet with video and you will be free for about 45 minutes.