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!
Schedule Your Call
Powered by Typeform
Application received! We'll contact you via email within the next 48 (business) hours to follow up with the next steps. Thank you and talk soon.
Powered by Typeform
Powered by Typeform