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APPLY TO NEXT ONLINE

Please fill out the form below.

Name(Required)

First Last

Email(Required)

Phone(Required)

Choose the description that best fits you:(Required)

Business Name(Required)

Business Description(Required)

Please describe in detail your current business. What do you do or sell?

How many years have you operated this business?(Required)

What is your gross annual revenue in US dollars?(Required)

This helps us place you in the appropriate group.

What drew you to this course?(Required)

What is your #1 goal you would like to achieve by the end of the year?(Required)

What is the #1 block preventing you from your desired results?(Required)

What can you offer to the other participants in this course?(Required)

What do you hope to gain by being part of this course?(Required)

What is your experience with self-development?(Required)

Please check all that apply

Books

Classes

Meditation

Journaling

Yoga

Energy Work

Retreats

Coaching / Mentoring

Other

Attendance: The value you get from participating in this course depends on your commitment to participate in meetings consistently and fully.

NEXT Online - How many meetings can you realistically participate in if we hold 6 consecutive weekly meetings that are 90 minutes?(Required)

Please check all the following statements you agree to follow when participating in this course:(Required)

I will ask for what I need and fully participate in the group.

I will willingly and generously contribute ideas to my group members.

I will treat my group members with respect and follow the communication guidelines provided by the facilitators to the best of my ability.

I will add all meetings to my schedule and make it a priority to attend every meeting.

I will share my knowledge of relevant resources that will help my group members increase their success.

I will not judge how my group members define success but will support them in whatever they hope to achieve.

I will not repeat anything another participant shares during the retreat without that participant’s explicit permission.

I will be loving and considerate to others.

I will use “I” statement to share my own experience and not assume what others feel or think.

I will be vulnerable and authentic revealing my intentions, thoughts, and feelings.

Please check all that apply(Required)

It is my Soul Calling

I am willing to invest the time needed

I am willing to make the financial investment

What day do you prefer to meet weekly for 90 minutes?(Required)

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

What time of day between 9 am – 5 pm do you prefer?(Required)

What time zone are you in?(Required)

What time zone?

Following this course, how much would you be willing to invest in our year long program, NEXT in Action, if you could get the results you desire?(Required)

This field is for validation purposes and should be left unchanged.

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ABOUT

PROGRAMS

LEADERSHIP DEVELOPMENT

STAY IN TOUCH

Get regular updates and access
to free online teachings on cutting-edge
5D leadership.

Get regular updates and access
to free online teachings on cutting-edge 5D leadership.

Name

Credits

APPLY TO NEXT ONLINE

Please fill out the form below.

STAY IN TOUCH

Get regular updates and access to free online teachings on cutting-edge5D leadership.

STAY IN TOUCH

Get regular updates and access to free online teachings on cutting-edge5D leadership.

Get regular updates and access to free online teachings on cutting-edge 5D leadership.

Get regular updates and access
to free online teachings on cutting-edge
5D leadership.

Get regular updates and access
to free online teachings on cutting-edge
5D leadership.

Get regular updates and access
to free online teachings on cutting-edge 5D leadership.