Application Coaching Call

Please Fill In This Application

What is your monthly income GOAL for the next 6 months?

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$1,000 - $2,000 a month

$2,000 - $5,000 a month

$5,000 - $10,000 a month

Over $10,000 a month

How much start-up capital do you have available right now to invest in working with Wayne and become our next success story?

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I don't have any money so I can't apply to work with Wayne

I have $500 to invest into my success

I have $1,000 to invest into my success

I have $2,000 to invest into my success

I have $5,000 to invest into my success

I have $10,000 to invest into my success

I have $25k+

First Name

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Last Name

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Job Title

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Best Contact Phone Number

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Best Email Address

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What Do You Currently Do For a Living?

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What Time Zone Is It Where You Are? (e.g. GMT, EST, PST)

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How Much Would You Estimate You've Currently Spent On Information / Coaching Products?

How Would You Describe Yourself As A Marketer?

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Beginner

Intermediate

Advanced

Do you currently have any Websites online?

If Yes please enter your URLs Below

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What has been your BIGGEST obstacle or challenge in the past that has stopped you from reaching your income goals?

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Do you currently have a mailing list?

If Yes, How many subscribers does it contain?

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Why are you choosing to be mentored by Wayne?

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What do you think are some of your greatest strengths and why should we consider you over the other applicants?

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Can you devote at least 7 hours a week to training, personal and professional development?

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Yes

No

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If my application is accepted and I join your marketing group, I promise to act with integrity, fulfill my obligations, keep my word, and take full responsibility for my personal success and business.