eBay Coaching  - Personal Application Form

Don't worry --this isn't one of those "high-pressure" deals. We only have enough coaches to take a few students at a time. One of our coaching specialists will conduct a short phone interview to determine if you could benefit from this exciting and limited program.

At the same time I want you to evaluate us.  After an initial free consultation, we will tailor a program to your individual needs. In our opinion, that is the beauty of this program. You are not getting some formula course designed for everyone --we work with your skill set, your experience and your schedule.

You will be treated with dignity and respect, and we will not offer you a program if we don't think you can succeed. I would rather have a small number of happy successful participants that hundreds of unhappy ones.

First Name		Last Name
Address		City
State	Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming	Zip
Day Phone		Eve Phone		Best contact time	Please Select morning afternoon evening
Email

Now, Lets take a look at where you are at now so we can map out an effective economical plan that we can execute to perfection and quickly help you get to where you want to be.

Please take the time to fill out the entire form. Getting an accurate assessment will help us to build you a business plan that will be customized to you.  Our students also tell us that they learn a lot about themselves by answering these questions.

*Your Information will be kept confidential between you and your consultant*

How much time do you spend on the Internet now?	Please Select 1-5 Hrs. Per Week 5-10 Hrs. Per Week More Than 15 Hrs. Per Week
How long have you been thinking about starting an online business?	Please Select Not long Few months Years

Why are you looking into starting an Internet based business? Why Now?

Have you ever bought or sold things on eBay before?	Please Select Never Used Ebay Bought Sold Bought and Sold
Do you have high speed or dial up Internet connection?	Please Select High speed Dial up
Are you looking to supplement or replace your income?	Please Select Supplement Replace
Have you ever owned a business before?	Yes No
Do you have ideas, products, and services that you would like to market online?	Yes No
Do you currently have a website?	URL:
How much time are you willing to commit per week to your business?	Please Select 5-10 hrs. Per Week 10-15 hrs. Per Week 20 hours + Per Week
If you could make an extra 5K per month making money on eBay & online what would be the #1 thing you would do with that money? (Pay Debt? Retirement? New car?)
What are your financial goals this year and why do you feel that this is your year to achieve them?
Explain what your current financial situation is like.
What is your current occupation?
How many hours per week?	Please Select 20 Hrs. 40 Hrs. 40 + Hrs.
What is your annual household gross yearly income?	Please Select $10,000 - $20,000 $20,000 - $40,000 $40,000 - $60,000 $60,000 - $80,000 $80,000 - $100,000 $100,000 +
How would you rate your credit?	Please Select Excellent Good Average Poor / Needs Improvement
Are you married or single?	Please Select Married Single Engaged Significant Other Widow
Do you have a spouse or business partner that will be involved in making any business decisions with you?	Yes No
Once you have achieved your financial goals what would you do to give back to your community or help your friends or family or donate time or money to other charities?
Would you like to learn how to start an eBay and Internet business with no money out of pocket if very little?	Yes No
Are you open minded and teachable enough to work one on one with an Internet marketing expert and have them teach you step by step?	Yes No
Will you follow thru and take action on what we teach you?	Yes No
To help protect us all from spam please enter the security code you see above into the box below:   Make sure all of your information is correct and click the Submit button to get your free Auction Accelerator Program.  Remember you'll also receive your Free consultation with an eBay and Internet Marketing Expert