Transforming Your Business and Life

LEADERSHIP 360

Application

Dear prospective client,

Thank you for your interest in our Leadership 360: Transforming Your Business & Your Life program. The first step in the process is for you to complete our coaching application and submit it to us for review. The evaluation process will be impacted by how detailed you are in your responses to the following questions, so please take the time to be as thorough and honest in your responses as you can. Upon receipt and review of your application, we will respond with feedback within seven business days. Again, thank you for your interest in L360 – we look forward to learning more about you.

Please email your completed application to:

Type your answers in the grey boxes:
First Name: / Last Name:
Address:
City: / State: / Zip Code:
Cell Phone: / Email:
Company: / Title:
Are you a business owner?
Type of business:
What is your annual income?
What is your year-to-date annual income?
What is your desired annual income?
Do you and your organization currently have a Strategic Plan that extends at least three years into the future?
If so, are you actively reviewing, modifying and working on the plan?
Please share with us a description of your job duties. Include the biggest challenges you face in your business. Please be as detailed as possible:
On a scale of 1 -10 (10 being peak performance), please rate the following areas of your business at the present time (where applicable).
**Please note, if you rate a category “7” or lower, please share what a “10” looks like in your mind, and how you feel your life would be impacted if you were performing at a 10 in this category. Please be detailed in your responses.
Sales, Pricing and Profitability:
Sales, Pricing and Profitability Comments:
Marketing, Branding and Recruiting:
Marketing, Branding and Recruiting Comments:
Internal Systems of Operation & Customer Service:
Internal Systems of Operation & Customer Service Comments:
Company Culture & Hiring and Training:
Company Culture & Hiring and Training Comments:
Time Management:
Time Management Comments:
Time for Yourself:
Time for Yourself Comments:
Relationship with Others:
Relationship with Others Comments:
Relationship with Yourself:
Relationship with Yourself Comments:
Balance in Life:
Balance in Life Comments:
The Pace with Which You Feel You Are Meeting Your Goals in Life:
The Pace with Which You Feel You Are Meeting Your Goals in Life Comments:
How many hours are you currently working per week (including mental time away from the office)?
If you were to attend the L360 Program, what would you ideal outcome look like?
Please have your spouse/partner answer the following question:
If your spouse/partner, the person applying for L360, were to be accepted into this program, what personal value or changes in their life would you hope that they would get from the year long program?
Any additional comments:
Who referred you to us?

Thank you for your interest in Performance Experts and for taking the time to complete the application.

Please email your completed application to:

501 S. Reino Road #231

Newbury Park, CA 91320

(805) 498-0294 EFax: (805) 426-8284