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Energy Magnet Scholarship Application

Please answer the following questions to be considered.

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Question 1 of 5

Name

Question 2 of 5

Email Address

Question 3 of 5

Select Your Take-home Income Range For the Year

A

0 - $50,000

B

$51,000 - $100,000

C

$101,000 - $250,000

D

$251,000 - $500,000

E

More than $500,000

F

Prefer not to answer

Question 4 of 5

On a scale of 1 to 10, how motivated are you to get the results you crave, no matter the work?

A

1 Not Motivated at All

B

2

C

3

D

4

E

5 I want this but I'm not sure

F

6

G

7

H

8

I

9

J

10 I'm ready to do whatever it takes!

Question 5 of 5

Why is THIS Your Year to raise your vibration in the weaker area(s) rather than being like everyone else who ignores it?

Confirm and Submit