Umbrellarz Application Form

What sort of people do you want to surround yourself with to help you succeed?

Are you someone with a PASSION who wants to…

  • Change their current situation for the better
  • Positively change an injustice
  • Make a difference in at least ONE persons life!
  • Help out their family, friends, or local community and more…

Unlike most application forms we choose to FOCUS on your FUTURE and not the PAST…

Do you agree it’s time to HELP LIFT OTHERS who are WILLING to get back up ONE MORE TIME?

Are you a person with a single PASSION or many EXCUSES?

Discover Your Passion

Please select who introduced you as we love to reward those who care enough to share this with you...


Ideally how much income per month would be enough to pay all your bills and have more than enough left over to bless your family, friends, community and / or charity?

CURRENCY: What Currency?

1. If today was the day you "CAN AFFORD IT" what would you buy first and list all the reasons why?

2. What are all the positive reasons why you want all the above? Positive motives cause positive Motivation!

3. What would all the above do for you?

4. What one thing would this ultimately give you?

5. What would having all this ultimately do for your family, friends, community, and the charity you like?

6. What value are you prepared to give (Time, Money, Effort, Study, Resources...) to receive this outcome?

7. List Six actions you could do today towards this outcome...

8. Like it or not. Taking full responsibility. What is the ONE thing you may have been putting off or seems almost insignificant. However, you now know, you can start giving, thinking, learning, planning or doing today?

9. What would help you to continue repeating and improving this until completion or this becomes an automatic habit of success to benefit other areas of your life?

10. To create a sense of urgency, imagine what would ultimately happen if you never did this!

Todays Date:

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