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Six Figure Income Boot Camp Client Application

Complete this application thoroughly, accurately, and completely so we can best determine if we are a good fit for each other. The more you share, the more we can help you.

Please click the button below to start the application. Thank you.

Start

Question 1 of 15

What Is Your Highest Education Level?

A

Graduate Degree

B

Undergraduate Degree

C

High School / GED

Question 2 of 15

Professional Work Experience (Years)

A

1 - 3 Years

B

4 - 6 Years

C

7 - 10 Years

D

10 + Years

Question 3 of 15

What Industry Do You Work In?

Question 4 of 15

Management Experience (Years)

A

No Management Experience

B

1 - 3 Years

C

4 - 6 Years

D

6 + Years

Question 5 of 15

Which Situation Best Describes You Right Now?

A

Unemployed

B

Working But Need Help to Improve Career Path in Current Work Environment

C

Working But Ready For Career Change Now (Ready for New Work Environment)

D

Working But Ready For Career Change Within 6 to 12 Months (Ready for New Work Environment)

Question 6 of 15

Current Annual Salary Range

A

Less Than $50,000

B

$50,000 - $65,000

C

$65,000 - 80,000

D

Greater Than $80,000

Question 7 of 15

What Do You Want This Boot Camp to Do For You?

(Select all that apply)
A

$100,000+ Annual Salary

B

Promote into Management / Leadership Position

C

Discover My True Potential

D

Have a Successful Career

E

Remove Career Roadblocks

F

Be Happy at Work

Question 8 of 15

Please Tell Me About Your Current Situation. Include The Top Three Conflicts and/or Roadblocks  That Prevent You From Reaching Your Career Success. 

Question 9 of 15

What Makes You Happy and Unhappy at Work? 

Question 10 of 15

If You Can Simply Push A Button to Fast Track Your Career Success i.e. Desirable Promotion, Pay, And Happiness at Work, How Much Would You Pay to Push That Button?

A

A Million Dollars

B

$10,000

C

$5,000

D

$100

E

$1

Question 11 of 15

Max Potential Consulting Group Provides Different Levels of Service to Best Suit Your Needs. What Level of Engagement Would You Like to Have With Our Coaching Services?

A

I Don't Have Time to Waste. I Need Private One-on-One Coaching and Support. Customized Success Plan. Most Exclusive Approach to Reach The Desired Outcome in the Shortest Amount of Time

B

I Would Like to Watch Online Training with Coaching Support

C

I Prefer Watching Online Training Without Coaching Support

D

I Don't Need Any Online Training But I Would Like to Access Coaching Support to Help Me Overcome Current Challenges

Question 12 of 15

Your Name (First, Last)

Question 13 of 15

Best Contact Email Address

Question 14 of 15

Best Contact Phone Number (Area Code and Phone Number)

Question 15 of 15

Best Time To Be Contacted

Confirm and Submit