First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Your Email (required)

Current Employment (what you do for $$)

Criminal History (sorry I have to this)

Experience:*
What is your experience in real estate if any? It's ok; you can tell me. I won't hold it against you. (I actually will hold it against you, but I didn't want to make you nervous.)

Attitude:*
Do you expect to succeed very quickly? How much do you intend to make during this 12 month apprenticeship? Be honest.

Referral:*
Who referred you to me? How did you find me?

My Book:*
Have you read it yet?

 Yes No

Past Training:*
List any previous training you have had in the real estate industry. Seminars, courses, coaching, etc...

Random Question:*
Why do you want me as your coach? How do you feel I will benefit you?

References:*
Please provide any relevant references with telephone contact details also.

Comments*