APPLICATION FORM
Full Name
Date of Birth
Gender MaleFemaleOtherPrefer not to say
Nationality
Country of Residence
Email Address
Phone / WhatsApp Number
Current Occupation / Area of Study
Educational Background
1. Why do you want to attend Launch Point?
2. What are the biggest fears or challenges you currently face in life?
3. What do you hope to gain from this program?
4. Where do you see yourself in the next 5–10 years?
5. Describe a situation where you had to demonstrate courage.
6. Which areas of life do you most want to grow in?
Spiritual lifeEmotional healthPhysical disciplineLeadershipRelationshipsFinancial managementCareer clarityConfidence and courage
Launch Point is an immersive program requiring full participation.
I commit to participating in all classes and field experiences.I am willing to step outside my comfort zone during the Courage Lab experiences.I am available for the entire duration of the program from September 1 – November 30, 2026.I understand that tuition is $5,000 USD.
Name
Relationship
Phone Number
Please provide one personal or professional reference.
Email or Phone
Resume / CV
Short Video Introduction — 2 minutes
In the video you may answer:
“Why should you be selected for Launch Point?”
By submitting this application, I confirm that the information provided is accurate and that I am genuinely interested in participating in Launch Point.
Signature (Digital)
Date
