InnerCoded™

ASCEND PILOT COHORT — APPLICATION

Let’s make sure this is the right fit.

1. Basic Information

Full Name *

Email *

Phone

Age Range *

2. Readiness & Commitment

How would you describe your current situation?

What do you hope will change after 18 weeks?

Are you ready to commit to 18 weeks of real work? *

Can you attend live sessions Wednesdays 8–9:30pm EST? *

How many hours per week can you dedicate to application assignments and tracking? *

3. Experience & Context

Have you done transformation work before? (Yes / No)

If yes: What kind, and what was the result?

What’s your biggest barrier to lasting change?

Motivation? Structure? Support? Consistency? Self-belief?

Who in your life will support this transformation?

Do you have people you can be accountable to?

4. Expectations

What does “success” look like for you in this program?

How will you know you’ve transformed?

What will be different that proves it worked?

I understand that:
☐ Not everyone finishes (completion rate is 40–60%)
☐ Transformation requires consistent application, not just attendance
☐ I am responsible for my own results
☐ This is not a refund-able program

Your honest answers help us ensure this cohort is filled with people ready for real transformation. We’ll review your application and follow up within 48 hours.