The Smart Singles Intensive Application

Smart Singles Intensive Being Extraordinary Intensive Extraordinary Relationship Intensive

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Submit Your Application By April 28

* Indicates required field

First Name *

Last Name *

Phone Number *

Email Address *

(confirm)

Gender *

Children

Children? If Yes, age and gender for each.

Sexual Orientation *

Single Situation *

Please describe your situation as you see it. For example: Haven't been open to dating for X months/years. Open to dating but no activity. Lots of activity, but no attachments. Tend to get attached to one person. Have short serial relationships. Seeing someone but looking elsewhere too. Don't know where/how to meet potential partners. Looking for something non-traditional. Etc.

What do you think is the cause of your "Single Situation" above? *

Example: Hurt from past relationships. Don't know how to attract men/women. I'm married and separated. Haven't been able to find a partner because...

How is your current situation for you? *

Please rate your experience of your current situation from 1-10 where 1 is "Hate it" and 10 is "I love this part of my life" and 5 being "It's okay but I want a change."

Your Qualities *

What do you consider to be the top 5 Qualities you bring to another person?

Describe your desired romantic situation *

Frustrations/Problems/Concerns *

What are your top 5 frustrations, problems or concerns about creating the romantic situation/relationship you desire?

What do you find difficult about romantic involvement with men/women? *

Please describe anything difficult because of how you think you are and/or difficult because of how you perceive they are...

Results *

What are the top 5 results you intend to achieve by participating in this Intensive?

What have you already done with Alison? *

Please name all of Alison's books, audio recordings, online courses, live workshops and advanced programs that you have consumed.

Anything Else?

Anything else you'd like Alison to consider when reviewing your application?

Payment Choice *

Upon acceptance into the Smart Singles Intensive, I authorize the following tuition charge:

	The Pay-in-Full amount of $9,995 (Less any discounts to be applied if accepted)
	The deposit of $1995 to initiate the Payment Plan option Followed by 4 additional payments of $2075 made every 31 days after deposit.

Upon submitting this form, you may be prompted to login, create an account, or add a payment method if necessary.

Pre-authorizing with a specific payment method is a declaration of your commitment to being in the Intensive, if you're accepted. Without a specific payment method, your application will be reviewed by Alison after other applicants have been considered. Please help conserve Alison's energy and ONLY submit an application if you're committed to being in the Intensive.

If you have questions about the Smart Singles Intensive, it's important you resolve them before applying. Contact our Personal Consultants if you need assistance.

Agree to Terms *

If accepted into the program, I agree to the Intensive Terms and Conditions.