Todd Durkin IMPACT Coaching Application

Please fill out this application to the best of your ability. Be as specific and honest as possible. We want to work with people who are ready to make a change in their lives and are READY to improve their business. There are no “pre-requisites” of success other than someone who deeply desires to get to their next level. Remember, you do NOT have to fill out this application all at once. You can save it and come back at any time. The deadline for applications is Thursday, February 4th. We look forward to reading your application. Thanks for sharing! ~Todd & Kelli
  • IMPACT Coaching Questionnaire

    Please take as much space as needed to answer the following questions. Feel free to attach any additional bio sheets, headshots or support material you deem necessary to help us best understand your background. When you submit this application, you will hear back from us within 72-hours.
  • a. Physical: What would you like to achieve with your physical health in the next 60-days? (Please share where you are at, what you do, and where you want to go physically…)
  • b. Mindset: Sum up your mindset right now (good, bad, or ugly)...I want to know where you are at…and where you want to go.
  • c. Spiritual/Faith walk. How is your faith/walk going (good, bad, ugly) and how Kelli & I can BEST help you. There are no “pre-requisites” here. Weekly fellowship/devotionals are something that will be part of the program. What would you like to experience in the next 60-days?
  • d. Relationships/Family. What’s working well? What’s not working well?