Application & Self-Assessment Form

This is not for the curious. This is for the committed.

First Name

Last Name

Phone *

Email *

Current City / State

Occupation / Business

Who are you when no one is watching and does that align with the man God is calling you to be?

What does your relationship with God look like in your daily life (not what you believe, but what you practice)?

Discipline with daily habits (prayer, breathwork, health, mindset)

Alignment with purpose and calling

Handling stress and emotional challenges

Where are you trying to control outcomes instead of surrendering to God?

What challenge or pattern have you not fully faced or overcome?

Are you surrounded by men who challenge and sharpen you? If not, why?

Who are you leading right now and how are you showing up?

What vision has God placed on your heart?

Why do you want to be part of the Alchemy Men’s Group?

Are you willing to be challenged and step into discomfort?

Final Declaration: I am ready to take ownership, be challenged, and grow.