The Ultimate Investor Mentoring Program Application

"I'm looking for a small, select group of hungry and motivated individuals who want to build wealth in Real Estate. My system has changed my life and countless others, fill in the form below now and we'll call you to see if you qualify for our Ultimate Investor Mentoring Program."

*All information will be strictly confidential.

CONTACT INFORMATION
First Name*
Last Name*
Email*
Today's Date*
Address*
City*
State*
Zip Code*
Work Phone
Home Phone*
Cell Phone
Fax
If applying with a partner, enter their name and relation to you
 
WORK & FINANCIAL INFORMATION
Present Occupation
Present Income
How much do you expect to make next year?
How many hours a week do you work?
How many vacations do you take in a year?

Net Worth [Assets (real estate equity, bonds,
cash, notes receivable, IRA's, 401K) minus
Liabilities (mortgages, credit cards, loans)]

   
GOALS
State your goals for next year.
Why do you want to be part of Michelle’s Ultimate Investor Mentoring Program?
Where would you like to be in your business in 12 months?
What are your biggest challenges in achieving the financial goals you desire?
   
REAL ESTATE EXPERIENCE & EDUCATION
What is your real estate experience?

Experienced
Intermediate (done at least 1 deal)
Getting Started (no deals done)

Number of years investing in real estate:
Types of properties you have bought besides your own house (check all that apply): Single Family
Multi-Family
Land
Commercial
Land Development

How many properties did you purchase last year?
How many properties do you plan to buy and how much income do you plan to make from them in the next 12 months?
Please list and describe Real Estate courses and education taken in the past two years.
   
GENERAL SELF-EVALUATION
List 3 of your strengths:
List 3 of your weaknesses:
   
   
 
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