Personal data sheet

Become Better Financially, Socially, Physically, Spiritually, Intellectually and Mentally

www.becomebetter.org

The International Institute for Personal Improvement

Alternative and non-traditional education and training since 1997

Personal DATA SHEET

NAME________________________________________TELEPHONE_____________________

ADDRESS_____________________________________________________________________

e-mail ________________________________________________________________

website________________________________________________________________

Please summarize your education to date.

Please summarize your work experience.

Please list the states or nations that you have visited for a day or more.

Please list the states or nations in which you have lived for more than 30 days.

What would you like to learn more about?

What would you like to accomplish with your new understanding?