membership application

please fill out the form

Answers will vary and there are no "right" answers

First and Last Name *

Phone *

Email *

Current Location *

Social Media (Instagram, TikTok and LinkedIn) *

How did you hear about The Growth House? *

What questions do you have about The Growth House? *

What do you hope to get out of the Growth House experience? *

What are you currently doing for work? *

How would you describe yourself? *

Aspiring Entrepreneur
Business Professional
Full-Time Entrepreneur
Other

Company Website and Description (If applicable) *

What do you need most in your business or career right now? *

List your 3 and 6 month Goals? *

Start, Stop, Continue – tell me something you want to Start doing, something you want to Stop doing, and something you want to Continue doing (or improve upon) *

What are some of your Favorite Books and/or Podcasts? *

Have you ever hired/worked with a coach or mentor *

What does a average weekday and weekend look like? *

Will you be working remote or in a office? *

Remote
In-Office
Mixture Of Both
Other

Cleanliness *

1
2
3
4
5

1= Not Clean
5= Very Clean

Accountability *

1
2
3
4
5

1= Not Accountable
5= Very Accountable

How important is being around like-minded people to you? *

1
2
3
4
5

1= Not Important
5= I am the Average of the 5 People I surround myself with

Honesty *

1
2
3
4
5

1= Not Honest
5= Very Honest

Do you have a written out Financial Budget? *

Yes
No

If you are interested in streamlining your food prep process and want a 3rd party meal-prep plan, which option? *

$400/monthly for Lunch/Dinner (M-Fri)
$600/monthly for Breakfast/Lunch/Dinner (M-Fri)
Not interested, I enjoy cooking or meal-prepping myself

Which city would you like to see another Growth House located? *

San Diego, CA
Portland, OR
Miami, FL
Dallas, TX
San Juan, Puerto Rico
Austin, TX
Other

Ideal Residency Timeline (Type in Month Below) *

Once Form is Submitted- please Wait For A confirmation email with Further Instructions

WE'RE READY, LETS TALK!

Your Name *

Email *

Your Message *

Message

contact info

Email Us

[email protected]

Call Us

503-327-3245