Buddy List Registration

Step 1 Buddy List Registration

* Indicates required field

1. Name *

First

Last

2. Email *

3. Phone # (xxx) xxx-xxxx *

4. State (Abbreviation) *

5. Time Zone (Choose one) *

6. Which Buddy Training did you have? *

I have participated in the Week 11 Buddy Training. (enter date below) I am scheduled to take the Week 11 Buddy Training. (enter date below) I had the 1-on-1 training with the Buddy Team. (enter date below) I have not had any Buddy Training. If you marked this option, do not continue to registration. Contact [email protected] to set up your training.

[email protected]

7. Date of your Buddy Training *

8. Buddies are required to be doing ALL their tools and support materials daily. Are your tools strong enough to help someone else? *

Yes, I am doing all my tools and support materials daily. No, I need to strengthen my tools before being a buddy. If you marked this option, do not continue to registration. You may want to consider redoing the HLR 10-week group or doing the Individual Program.

9. Buddies are required to attend 1 of the 4 Buddy Check-In Conference calls each year to remain on the list. I understand that I will receive an invitation to each of these calls and that I will need to attend one of these calls. *

Yes, I will attend 1 of the Buddy Check-In Conference Calls this year

If any of your answers above told you not to continue to registration, do not submit this form. Contact
[email protected] to fulfill the requirements for eligibility.

If you are eligible to be a buddy, submit this form and you will be taken to the Buddy documents.

Submit