First Name *

Last Name *

Phone Number *

What is your age? *

Which branch of the military, law enforcement or fire rescue are you in? *

How have you developed/invested in your leadership? *

How many grams of carb/fat/protein are you eating per day? *

Are you preparing for a military, law enforcement or fire rescue selection phase? *

Do you have a year or more to train for selection? *

How many years and months do you have until selection begins? *

Describe your current health & fitness... *

Describe your ideal health & fitness... *

What has been your experience leading men? *

Ideally, what kind of leader do you envision yourself as in 5 years from now? *

What will happen if you don't take the required action to achieve this goal? *

On a scale of 1-5 (1 being not important, 5 being very important), how important is it to you to develop the fitness and leadership required to be successful on selection phase? *

Why did you choose that number?

How long have you been following Wes and BrotherhoodLife? *

Where did you first hear about us? *

What is your current household monthly take-home income? *

Are you ready to invest the financial resources required to develop your fitness and leadership and arrive to selection as prepared as possible? *

Do you fully understand how the 5-Phase Selection Success Method works? *

If your application is approved, do you commit to showing up to the call on time? *

Who's your favorite action hero and why? *

Congratulations, Your Application has been approved!
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