When you look at the state of our world today, how sustainable
do you believe it is on a scale from 1 low to 10 high and why?

When you look at the leaders in our country and the world today, how "awakened"
do you believe they are on a scale from 1 low to 10 high?

What resources are you aware of that could help more individuals
awaken the leader within and or help heal our planet?

Which of the following are priorities for you personally? (Choose as many as you want.)

Awakened Leadership                                    	 
Personal Transformation                   
Global Healing                                                         	
Sustainability                            
Personal Healing                                                     	
Being part of the solution                 
Connecting with others of like mind                      	 
Learning as much as possible              
Helping my community grow and evolve               	
Helping my country be part of the solution  
Enlightened consciousness                                    	 
Spiritual enlightenment                   
Community development and empowerment       	
Fulfilling more of my potential             
Making a difference                                                	
Manifesting my ultimate destiny           

How would you like to participate in LIGHT? Select any of the following options that apply:

 Subscribe to newsletter
 Become a member
 Make a donation
 Volunteer
 Attend webinars
 Attend live events
 Submit articles
 Be a resource provider
 Be an affiliate and earn $
 Review programs
 Help edit content
 Help manage the blogs
 Serve on advisory committees
 Form a local LIGHT Chapter
 Help promote LIGHT
 Trade web site links
 Help with web development
 Help with Internet marketing
 Recommend resources
 Provide a testimonial

How serious is the need today for awakened leadership focused on
transformation and global healing with 1 low and 10 high?

What else would you like to share with us and others who are interested?

Please identify and describe yourself (optional);

Name
Date of Birth
Sex	Male Female

Please provide the following contact information (optional and we respect your privacy);:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
URL

Thank you for taking time to share your wisdom and interests with us!