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First Name *

Last Name *

Phone *

Email *

BUSINESS & LIFE

Address *

Street Address

City

State

Country

Postal Code

Best Way to Contact *

Email

Phone

Text

Current Role / Title

Type of Business

How long have you been in business or leadership? *

Less than 2 years

2–5 years

5–10 years

10+ years

Approximate Annual Income (Personal or Business) *

$75K–$150K

$150K–$300K

$300K–$500K

$500K+

Which best describes your current season now? *

Growing fast but feeling disorganized

Stable income but mentally overwhelmed

Recovering from financial or tax mistakes

Successful on paper, uneasy underneath

Ready to restructure and lead with clarity

WHY YOU’RE HERE

What prompted you to apply for WealthLit Life right now? *

What would peace look like for you by the end of 6 weeks? *

What does your peace look like?

What are you most afraid will happen if nothing changes this year? *

What is your fear?

Which statement feels most true for you right now? *

“I feel like I’m carrying too much alone.”

“I’m tired of guessing with my finances.”

“I want peace, not just more income.”

“I need structure that supports my life, not controls it.”

“I feel called to lead differently in this next season.”

READINESS & SUPPORT

WealthLit Life is gentle, not passive, a carefully designed experience rooted in intention, reflection, and purposeful action.

Are you willing to:

Attend weekly sessions (live or replay)
Participate honestly in small-group discussions
Reflect, journal, and take aligned action
Receive support without shame

*

Yes

Mostly yes, with grace

I’m unsure but open

How do you typically respond when things feel overwhelming? *

I try to handle everything myself

I shut down or avoid looking at it

I ask for help but feel guilty

I get anxious and overthink

I’m learning to pause and ask for support

LEADERSHIP & WORKING STYLE

(This helps us thoughtfully match you into a group of 3 women who complement one another.)

Please select the option that feels most natural to you.

In group settings, you are usually: *

Direct, decisive, and focused on outcomes

Supportive, encouraging, and relational

Analytical, observant, and thoughtful

Energetic, expressive, and big-picture

When making decisions, you tend to: *

Decide quickly and move forward

Think it through carefully before acting

Ask for input and consider people involved

Gather details and ensure accuracy

Under stress, you are most likely to: *

Take control and push through

Withdraw and process quietly

Worry about how others are affected

Feel scattered and overwhelmed

You feel most confident when you are: *

Leading and making things happen

Helping others feel supported

Working with clear systems and plans

Brainstorming and casting vision

Which statement sounds most like you? *

“Let’s move — we’ll figure it out.”

“Let’s make sure everyone’s okay.”

“Let’s slow down and do this right.”

“Let’s imagine what’s possible.”

If accepted, are you prepared to engage fully — with honesty, intention, and commitment to your growth? *

Yes

I need to pray and discern

I have questions

Once submitted, our team will review your responses and follow up within 24–48 hours with your next best step. Whether it’s a personal call or a redirect to a resource, we’ve got you.

WEALTHLIT LIFE ™

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