Master Coaching Program Application

Name:

Address:

Home Phone:

Work Phone:

Fax:

Cell Phone:

Email:

Please use separate pages if necessary to briefly answer these questions
(typed or printed only, please):

What is your current job title and occupation?

What is your screenwriting/film industry experience thus far? (Please include jobs, script options and sales, screenplays completed, etc.)

What has been your exposure to Michael’s principles and methods up to now (please mark all that apply):

• Read his book:
• Listened to his tapes:
• Attended weekend seminar (when & where?):

• Heard him lecture (when & where?):

• Other:

What is your long-term career goal in the film or television industry?

What market do you plan to pursue with your completed script? (Studios, independent financing, TV, etc.)

What time commitments are you willing to make for completing your screenplay?