Name:              

Please fill out the following questionnaire so I can determine how I can best assist you. Try to be as specific as you can.

1. What Real Estate Investing courses have you studied?

(Please include When did you studied/read the materials)

Please list any courses or books you are reading, studying now, or have already.

2. How long have you studied Real Estate Investing?

less than 1 month less than 3 months less than 6 months 6 months to 1 year 1 to 2 years 2 years or more 5 years or more Never even opened a book on the topic

3. Have you done any sort of real estate investment deals yet? 

(If so, please provide details)

Please tell me if you have completed any REI deals, creative or not, and some detail about that. If you have not done any deals, state that as well, and if you are working a deal now, let me know this info as well.

 4. What are your real estate investing goals?

Be as specific as you want, ramble if needed, and if you are not sure, just say that too.

 5.What are you looking for in the form of mentoring?

Tell me what you are seeking to accomplish, "What can I do for you? as a mentor?)

 6. What specific technique interests you most, if any?

(Lease options, land contracts, buy and hold, “subject to”, etc.)

7. Do you currently do any marketing to bring in calls from sellers?

        Yes I am marketing          No, I am not marketing yet.

If you are..... What are you doing? Tell me as much about it as possible, what methods, results if any? etc.

8. Have you ever used a coaching or mentoring service before?

yes, I have used a coach/mentor before No, never, you will be my first mentor

8.a) If you have used a mentor before?

Tell me about the experience, good, bad or general comments?

Tell me what ever you feel might help us here, and perhaps some insight on how you learn best.

9. General comments/special requests?

Anything you want to say or request, put it here.

Schedule for consults, if applicable: 

(Be sure to give several, as I do have other students.)

What are the best days of the week to schedule your consult with me via telephone?

Best time of day for your consult?

10:a.m. to Noon- not a good time for Jim, but doable afternoons-Noon until 5 p.m. dinner time- 5 p.m. to 8 p.m. night time, 8 p.m. - 10:30 p.m. Late night 10:30 p.m yntil 1:00 a.m.

 Your contact information:

Name:

Daytime Phone:

Evening Phone:

Fax:

Other:

E-mail:

Misc. Notes to Jim:

If you were sent here to fill out an application after signing up, or before, please indicate that here, as well as any other comments you might have.

Option package signed up and paid for:

(Check the mentoring option you just signed up for)

Option 1: Basic Mentoring Package (90 Days):  

Option 2-Intermediate Mentoring (6 Months):  

Option 3- 365 LIVE Mentoring (1 FULL YEAR!):

Liability Waiver:

(Be sure to read)

Liability Waiver: The undersigned understands that this mentoring package will provide consultation and discussion regarding investing in real estate. Rementors.com staff and associates will not render any legal or accounting advice, and shall not be held liable for same. The undersigned agrees to hold harmless Rementors.com staff, employees, and associates for any actions taken by the “Student” during, or in any real estate transactions the student may enter into during or after the mentoring sessions. Mentoring will not begin until this form is received back to our office signed, and acknowledged by Rementors.com staff. By clicking the "Submit" button below you are entering your signature electronically, and agree to be bound by this agreement and waiver of liability.

Acknowledged and submitted this 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st day of January February March April May June July August September October November December , 20 02 03 04 05 06 07 08 09 10 11 12 13 14

By clicking the "Submit" button below you are entering your signature electronically, and agree to be bound by this agreement and waiver of liability.

The next section is for office use only, just leave it as is.

Date of start: Expiration of service: Approved: Date: Customer Code: E-mail given to Customer: Fax Given to Customer: Real Time Seller Consult appointment: Final Tele-Consult Appointment schedule: Monday: Tues.: Wed: Thurs.: Friday: Sat.: Sun.: Notes: