How to Apply for Performance Institute Services
Application Process
You can use this brief application to let us know that you think we can be of service to you
The application will ask you to state the performance situation that you would like to change
We will use the application information to determine whether or not we can help you with you particular situation
We will respond to your application with a preliminary plan letting you know how we would approach your problem
If we cannot be of help, or if you need a different kind of service than we can provide, we will let you know this also
If you like the preliminary plan, let us know and we will set up an appointment with you
Application Form for the Performance Institute
Last Name
First Name
MI
E-Mail
Fax
Work Phone
Home Phone (optional)
What arena of performance do you want to change?
Sports
Test Taking
Public Speaking
Other:
Describe the performance you would like to change. Tell us what happens.
What Happens
How often does the problem occur?
How Often
What is your realistic Performance Goal?
Performance Goal
What have you tried that hasn't worked?
Tried but hasn't worked
What do you think keeps you from reaching your goal?
Barrier(s)
What do you think you will need to do differently to reach your goal? Or, what to you think is the solution to your situation?
Solution(s)
