Traction ControlTM

Confidential Program Application




City State Zip

Work Phone

Home Phone

Cell Phone

Best Time to Call

What is Your Current Annual Income?

How did you hear about us?

Briefly describe why YOU are a good candidate for Traction Control:

If you could wave a magic wand and change three things in your business or life over the next six months, what would they be?

What have been your 3 biggest accomplishments in the last 5 years?

Who are, or have been, your major role models?

What’s your long term vision for your company—and yourself?

Who, or what, do you think is your biggest obstacle in reaching your current goals?

Who, or what, do you think is responsible for your current results?

What motivates you?

Anything else you would like to share with us when considering you for this program?

Thank you for your application and agreement. We will personally review it, and a staff member of the Traction ControlTM Program will contact you within 7 business days via email or phone to let you know if you are approved. Traction ControlTM applicants may require a scheduled phone interview with Tom Zeeb. If you are not approved, we will refund your deposit within 48 hours.