Breakthrough At The Beach - Application Breakthrough At The Beach Application Phase Step 1 of 35 2% Are you a man?(Required) Yes No Do you have any entrepreneurial or real estate investing experience?(Required) Yes No Are you currently Employed or running your own Business?(Required) Employed Self-Employed Neither (Unemployed) On a scale of 1-10, what is your enjoyment level with what you do to produce income?(Required)1 = Low Satisfaction 10 = Highest Satisfaction 1 3 5 7 10 What Industry are you in?(Required) What WAS YOUR Income OR Business Revenue from all sources in the last year?(Required) $0-50,000 $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 $1,000,000+ What is the greatest area of frustration or area of greatest desired change in your Business or Job and Why?(Required) Financial Lack of Purpose Working too many hours Stress Other If other, please explain How much income do you ultimately want to produce THIS year?(Required) $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 $1,000,000+ Are you Married? (Or living with the same person for 1+ years)(Required) Yes No If you are Married or in a Relationship, How long?(Required) 0 - 1 years 1 - 5 years 5 - 10 years 10 - 20 years 20+ years How would you rate your marriage life OR relationship status?(Required) Horrible Just OK Great/Wonderful Have you ever been divorced?(Required) Yes No How would you rate your sex life?(Required) Horrible Just OK Great/Wonderful Do you have Kids? If so how many?(Required) 1 2 3 4 5+ How would you rate your relationship with your children?(Required) Horrible Just OK Great/Wonderful Not Applicable Were you raised with a Religious background?(Required) Yes No Are you currently practicing your Faith?(Required) Yes No Do you Currently Drink (Alcohol), Smoke, take Pills or anything else to "Sedate" and or "Numb Out" from life?(Required) Yes No Have you Ever Been Punched In the Face By Another Man?(Required) Yes No Have you Ever Punched a Man in the Face?(Required) Yes No How would you rank your HEALTH & FITNESS (Overall in both the way you look and Feel)?(Required) Horrible Just OK Great/Wonderful Which of the 2 triggers compelled you to apply for this event?(Required) Trigger #1: This is something that you "DON'T HAVE", but that you "WANT" Trigger #2: This is something you "HAD" or "HAVE" but you want it Back or want to 'Level it Up' What do realistically think your earning potential as an Entrepreneur/Real Estate Investor could be with proper guidance and coaching in 1 year from now?(Required) $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 $1,000,000+ What's going on in your life RIGHT NOW that has you filling out this application?(Required) WHY is getting what you say you want important to get right now?(Required) What will having what you really want be worth to you?(Required) Why is it an ABSOLUTE MUST for you to Level up your LIFE & BUSINESS at this time?(Required) Why should we select YOU to Join this Brotherhood?(Required) Name(Required) First Last Age(Required) Email(Required) Phone Number This Program consists of Pre-Event Coaching Calls, Group Webinars & Video training and Culminates with the Breakthrough At The Beach Live Event Mastermind beginning @ Noon on Thursday April 25th thru Sunday the 25th (Thursday afternoon - Sunday Afternoon) in Galveston, Tx.(Required)*All other training leading up the event is done virtually via Phone Calls, email, video and Webinars. Can you commit to attend IN PERSON during full duration of the Live Event? Yes No There is a $2,497 investment required to attend this Mastermind event with Brant & his Trainers.(Required)This investment will INCLUDE: >Lodging (Beach House) >Food >Drinks >Clothing (Shirts, items etc) >Real Estate Materials Are you willing to commit financially for this experience in your current situation if selected? Yes No Do you have anything else you would like to share with Brant to take into consideration for your application?
