Scholarship

First Name *

Last Name *

Phone *

Instagram Handle

Email *

Which of the following best describes your current goals/challenges? (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to improve my overall health, increase energy, etc.

I want to improve my athletic performance (strength, power & speed)

Occupation & How Many Hours Per Week You Work: *

How has your schedule impacted your health and fitness? *

What is it you are looking to gain from having a coach? *

What is the biggest hurdle you’ve been trying to overcome with your fitness? *

What would winning this scholarship mean to you? *

Why should YOU win this scholarship? *

What is your commitment level to your personal results?

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

Although the full scholarship(s) are set and limited, some partial scholarships may be given away as well. If you qualify, are you interested in hearing about this possible opportunity? *

Yes, I am committed to achieving my goals and want to take advantage of any opportunity to make them happen.

I would love to hear about the details of the opportunity and talk about how I can make it work if the opportunity presents itself.

No, if it's not free my goals aren't worth it to me.

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