You can always press Enter⏎ to continue
Welcome
Please fill out and submit this form to apply to work with Glynn Kosky!
22
Questions
START
1
What Is Your Full Name?
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
What Is Your Best Phone Number?
*
This field is required.
Previous
Next
Submit
Press
Enter
3
What Is Your Best Email Address?
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
4
What Is Your Job Title?
*
This field is required.
Previous
Next
Submit
Press
Enter
5
When Is The Best Time For Us To Call You? (Please give a few options if possible)
*
This field is required.
Previous
Next
Submit
Press
Enter
6
What Country Do You Live In?
Previous
Next
Submit
Press
Enter
7
COUNTRY CLONE
Previous
Next
Submit
Press
Enter
8
What Time Zone Is It Where You Are? (e.g. GMT, EST, PST)
*
This field is required.
Previous
Next
Submit
Press
Enter
9
What Do You Currently Do For a Living?
*
This field is required.
Previous
Next
Submit
Press
Enter
10
What is Your CURRENT Monthly Income?
*
This field is required.
$0 - $1,000 a month
$1,000 - $2,000 a month
$2,000 - $3,000 a month
$3,000 - $5,000 a month
$5,000 - $7,000 a month
$7,000 - $10,000 a month
Over $10,000 a month
Previous
Next
Submit
Press
Enter
11
What Is Your Monthly Income GOAL For The Next 6 Months?
*
This field is required.
$1,000 - $2,000 a month
$2,000 - $5,000 a month
$5,000 - $10,000 a month
Over $10,000 a month
Previous
Next
Submit
Press
Enter
12
How Would You Describe Yourself As A Marketer?
*
This field is required.
Beginner
Intermediate
Advanced
Previous
Next
Submit
Press
Enter
13
How Much Would You Estimate You've Currently Spent On Information / Coaching Products?
*
This field is required.
Previous
Next
Submit
Press
Enter
14
Do you currently have any Websites online?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
15
If Yes please enter your URLs
Previous
Next
Submit
Press
Enter
16
Do you currently have a mailing list?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
17
If Yes, How many subscribers does it contain?
Previous
Next
Submit
Press
Enter
18
What have been your BIGGEST obstacle or challenge in the past that has stopped you from reaching your income goals?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
19
Why are you choosing to be mentored by Glynn Kosky?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
20
What do you think are some of your greatest strengths and why should we consider you over the other applicants?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
21
Can you devote at least 7 hours a week to training, personal and professional development?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
22
How much start-up capital do you have available right now to invest in working with Glynn Kosky and become out next success story?
*
This field is required.
I don't have any money so I can't apply to work with Glynn Kosky
I have $500 to invest into my success
I have $1,000 to invest into my success
I have $2,000 to invest into my success
I have $5,000 to invest into my success
I have $10,000+ to invest into my success
Previous
Next
Submit
Press
Enter
23
If my application is accepted and I join your marketing group, I promise to act with integrity, fulfill my obligations, keep my word, and take full responsibility for my personal success and business.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
23
See All
Go Back
Submit