In Pursuit of Excellence

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Road Map Dear Participant Thank you for taking the first step in accomplishing your goals. Thank you for listening, learning, and applying the lessons learned from my presentation. Your Road MAP (My Action Plan) for success begins with your registering your dreams. You will then be assigned a Dream Watcher. Your Dream Watcher will be responsible for following up with you via email and blog entries to discuss your progress towards your goals. Never forget you were created for greatness. People don’t plan to fail, they fail to plan. Register For My Road MAP! First Name: Middle Name: Last Name: Home Phone: Business Phone: Cell Phone: Email Address: Birthday(Month/Day): Address: City: State: Zip: Occupation: Tell Us About Yourself: What is your life mission statement? What are your dreams? What are you going to accomplish by the end of this year? What are you going to accomplish in 5 years from now? What is your long term (12 years) goals. What do you want to accomplish by the end of next month? List 3 things you want to change about your self in 3 months. List 1 thing you will do for a stranger by the end of next month Name 1 book you will read by the end of next month? List 3 people that you will want to have a better relationship with in 3 months. List 3 people you need to introduce yourself to (network) to help you get closer to your goals. List 3 things you will do for yourself in 3 months. I prefer contact by: Telephone: Email:

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