Pursuit of Balance: Program Application

 

Pursuit of Balance is a 18 lesson program. An 80% live participation time commitment is required. 

Maintaining Balance is included in your investment for 6 months following your graduation ceremony. 

For additional details and questions regarding the program please contact the Pursuit of Balance Team.

NOTES:

  • Use the SAVE button at the bottom of the form if you aren't finished, to preserve your responses. When you have completed all of your responses, use SAVE and SEND to send me an email notification that the form is ready for review.
  • As soon as you have saved this form, an archive is created. Click to the right of Date Entry at the top of the form to find a list of your archived versions. If you just use SAVE, you'll need to Refresh to find the archive.

Please choose the best time of day for you:

 

Please list alternative days/times (including the timezone) and for what specific POB Life Strategy Coach:

Best way to reach me:

Cell Phone Number:

Mailing address (please notify Coach if this changes prior to graduation):

Please select status:

On a scale of 1-10, with 10 being the highest, please rate the following:

My level of anxiety:

My level of happiness:

My biggest challenge right now is:

My greatest stress factor is:

What is attractive about learning skills right now that will help you better manage stress, anxiety, depression and fear on your own forever?

How do you feel about being in a small group of no more than 5 people?

Is there anything else that would be helpful for me to know about you?

Please list anyone you know who is also applying who you WOULD like to be in the same group with?

Please list anyone you know who is also applying who you WOULD NOT like to be in the same group with?

Would you like to receive CEUs through the Aspire Program at Loyola University in Maryland? This is an additional $25. You will receive your CEU certificate after graduation.