Registration Form – Repeat Student

I will be repeating (indicate course):

GoBusiness100GoLife100GoBusiness200GoLife200

Contact Information:

First Name (required)

Last Name (required)

Your Email (required)

Address

City

State

Zip

Country

Cell Phone

Home Phone

Work Phone

Date of Birth (mm/dd/yyyy)

Your Church:

Church Name (required)

City

Pastor’s Name

About You:

Level of Completed Education

Employment

Position

Business Type/Industry

Extra-curricular activities

Please indicate why you had to suspend your school coursework the first time you enrolled:

Do you already know someone who is a trained GoStrategic Facilitator that you would like to facilitate you? If so, please indicate their name

Please explain in a 2-3 paragraph essay what you hope to gain from GoBusiness/GoLife:

Student Agreement

As a student, I agree to fulfill my responsibilities to the curriculum and to my facilitator by participating in all required activities and staying accountable to finish my assignments. For networking purposes, I authorize the release of my email address to fellow students & facilitators only.

In order for your application to be complete, we must receive your facilitators recommend and full payment for the course upon registration, unless you have signed up for a payment plan, in which case we must receive the deposit. Additional documents may be required, pending which school/year you are repeating.

Other comments

Once your enrollment form is received you will be emailed with payment instructions.

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