1. Contact Info

Thank you for your commitment to having a Kingdom life, and for taking the time to complete this application!
I’m really excited for what’s about to happen in the lives of the men who join us on this "Kingdom First" journey!!

For such a time as this,
Coach Chaim

Scroll down through the Application Survey and answer ALL the questions as completely as possible, and make sure to click Submit at the end.  All information is for internal purposes only, and will be kept highly confidential.  We will review your application quickly, and you can expect to receive a response in 2 - 5 business days, at which time we will book a no-cost telephone consult/evaluation with everyone who is eligible.   Please see "The Application Process" tab above for more detailed information.  Thank you for applying!

Question Title

* 1. My Contact Information:

25% of survey complete.