PROGRAM APPLICATION
Battleworn Legacy exists to forge men into Christ-centered leaders by restoring biblical manhood, embracing discomfort and calling men to lead their marriages, families, and professional lives in obedience to Christ.
APPLICATION PURPOSE
The Battleworn Legacy experience is a challenging, high-accountability program designed to confront areas of weakness, build brotherhood, and push men toward growth in faith, marriage, family, business, health, and leadership.
ELIGIBILITY REVIEW
Applications are reviewed individually to assess program fit, readiness, safety, and financial qualification. Submission does not guarantee acceptance, scholarship support, or program completion. Battleworn Legacy may request additional information to verify eligibility and ensure proper care.
HOW TO COMPLETE
Please complete each section truthfully and thoroughly. Honest disclosure helps Battleworn Legacy assess fit, safety, support needs, and appropriate next steps. Medical, emotional, and safety details are requested for participant care and emergency planning.
CONTACT INFORMATION
FIRST NAME
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LAST NAME
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DATE OF BIRTH
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EMAIL
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PHONE
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CURRENT STATE OF RESIDENCE
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PREFERRED CONTACT METHOD
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Privacy Policy
ELIGIBILITY
GENDER
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ARE YOU A BUSINESS OWNER OR LEADER?
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FAMILY AND LEADERSHIP
WHAT IS YOUR CURRENT RELATIONSHIP STATUS?
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HOW WOULD YOU RATE YOUR MARRIAGE?
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DOES YOUR SPOUSE SUPPORT YOU IN THIS DECISION? (IF APPLICABLE))
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DO YOU HAVE CHILDREN?
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PERSONAL INCOME RANGE
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IF BATTLEWORN LEGACY EQUIPS YOU TO BECOME A STRONGER MAN, STEWARD YOUR INCOME WITH GREATER PURPOSE, IMPROVE YOUR HEALTH, AND DEEPEN YOUR RELATIONSHIP WITH GOD, YOUR WIFE AND YOUR CHILDREN, ARE YOU WILLING AND FINANCIALLY ABLE TO INVEST IN THIS TRANSFORMATIONAL EXPERIENCE?
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WHAT IS THE BIGGEST CHALLENGE YOU CURRENTLY HAVE IN YOUR LIFE?
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FAITH AND READINESS
ARE YOU WILLING TO BE CHALLENGED PHYSICALLY, MENTALLY, SPIRITUALLY, EMOTIONALLY, RELATIONALLY, AND PROFESSIONALLY?
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WHAT IS THE PRIMARY REASON FOR APPLYING FOR THE BATTLEWORN LEGACY PROGRAM AT THIS POINT IN YOUR LIFE?
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WHAT SPECIFICALLY ARE YOU HOPING WILL CHANGE IN YOUR LIFE, MARRIAGE, FAMILY, BUSINESS, FAITH, HEALTH, OR LEADERSHIP AS A RESULT OF THIS EXPERIENCE?
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BUSINESS QUALIFICATION
WHAT IS YOUR ANNUAL BUSINESS INCOME RANGE?
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HOW LONG HAVE YOU BEEN IN A LEADERSHIP POSITION?
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IF ACCEPTED, WHO WILL BE RESPONSIBLE FOR MAKING THE FINANCIAL DECISION?
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WHAT IS YOUR BUSINESS OR ORGANIZATION TYPE?
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DESCRIBE YOUR CURRENT PROFESSIONAL ROLE.
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ENROLLMENT READINESS
ARE YOU FINANCIALLY READY TO INVEST IN YOURSELF?
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WHAT ATTRACTED YOU MOST TO BATTLEWORN LEGACY?
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IF ACCEPTED - WHAT WOULD PREVENT YOU FROM ATTENDING?
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ARE YOU APPLYING BECAUSE YOU PERSONALLY WANT TO ATTEND, OR BECAUSE SOMEONE ELSE ENCOURAGED YOU TO APPLY?
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ATTENDANCE OBSTACLES
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OBSTACLE EXPLANATION
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REFERRAL INFORMATION
HOW DID YOU HEAR ABOUT US?
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NAME OF PERSON WHO REFERRED YOU (IF APPLICABLE)
FINAL STATEMENT
IN YOUR OWN WORDS, WHY SHOULD BATTLEWORN LEGACY CONSIDER YOU FOR THIS TRANSFORMATIONAL PROGRAM?
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WHAT ARE YOU WILLING TO FIGHT FOR IN THIS SEASON OF YOUR LIFE?
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IS THERE ANYTHING ELSE WE SHOULD KNOW BEFORE REVIEWING YOUR APPLICATION?
PHYSICAL FITNESS, MEDICAL, & SAFETY DISCLOSURE
DO YOU CURRENTLY HAVE ANY MEDICAL CONDITION, INJURY, DISABILITY, PHYSICAL LIMITATION, MOBILITY ISSUE, OR HEALTH CONCERNS THAT COULD AFFECT YOUR ABILITY TO PARTICIPATE IN PHYSICAL ACTIVITY?
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IF YES - PLEASE EXPLAIN
ARE YOU CURRENTLY UNDER THE CARE OF A PHYSICIAN, COUNSELOR, THERAPIST, PSYCHIATRIST, OR OTHER CARE PROVIDER FOR AN PHYSICAL, EMOTIONAL, MENTAL HEALTH, OR BEHAVIORAL HEALTH CONCERN?
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IF YES - PLEASE EXPLAIN
DO YOU HAVE ANY CURRENT OR PAST INJURIES INVOLVING YOUR BACK, NECK, KNEES, SHOULDERS, HEART, LUNGS, BRAIN, NERVOUS SYSTEM, MOBILITY OR ANYTHING ELSE WE SHOULD BE AWARE OF?
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SELECT AN OPTION
IF YES - PLEASE EXPLAIN
DO YOU HAVE ANY CURRENT RESTRICTIONS FROM A DOCTOR OR MEDICAL PROVIDER REGARDING EXERCISE, PHYSICAL ACTIVITY, LIFTING, RUNNING, HIKING, OUTDOOR ACTIVITY, SLEEP, STRESS, OR STRENUOUS ACTIVITY?
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SELECT AN OPTION
IF YES - PLEASE EXPLAIN
CONSENT AND CERTIFICATION
DO YOU CONSENT TO RECEIVE CALLS, TEXTS, AND EMAILS FROM BATTLEWORN LEGACY REGARDING YOUR APPLICATION, SCHEDULING, PAYMENT OPTIONS, AND RELATED OPPORTUNITIES? I UNDERSTAND THAT MESSAGE AND DATA RATES MAY APPLY, MESSAGE FREQUENCY MAY VARY, AND I MAY REPLY STOP TO UNSUBSCRIBE FROM TEXT COMMUNICATIONS AT ANY TIME?
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I UNDERSTAND AND AGREE
I CONSENT TO RECEIVE SMS NOTIFICATIONS, ALERTS, AND OCCASIONAL MARKETING COMMUNICATIONS FROM BATTLEWORN LEGACY. MESSAGE FREQUENCY VARIES. MESSAGE AND DATA RATES MAY APPLY. REPLY STOP TO UNSUBSCRIBE AT ANY TIME.
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I CONSENT
FULL NAME
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APPLICATION DATE
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SIGNATURE
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Clear