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The Breakthrough Room™ — Founding 100 Application

Welcome to The Breakthrough Room™ Founding 100 Application.

The Breakthrough Room is a free 31-day biblical inner healing and freedom experience designed to help women confront the root, break unhealthy agreements, rebuild in truth, and move forward with greater clarity, healing, and intention.

The Founding 100 will be the first women to experience this journey and help establish the foundation of the community.

Free does not mean passive.

Founding members are expected to make a good-faith effort to participate, complete the Day 0 and Day 31 assessments, use the workbook, and provide honest feedback.

Please answer each question thoughtfully and honestly. You do not need to share graphic trauma, sexual details, or highly private information. Keep your answers honest and general where necessary.

Submitting an application does not guarantee acceptance. Applications will be reviewed to determine whether The Breakthrough Room is the right fit for you in this season.

First Name

Last Name

Email Address

Phone Number

Used only for program communication if needed.

City/State

How did you hear about The Breakthrough Room?

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What made you interested in The Breakthrough Room?

What is one recurring cycle, belief, relationship pattern, or boundary issue you are ready to confront?

Please keep this general. Graphic or highly private details are not necessary.

What have you already tried to change in this area?

What usually makes lasting change difficult for you?

Optional elaboration

This experience requires approximately 30–60 minutes of intentional work most days. Are you willing to make a good-faith effort to participate?

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Are you willing to complete a Day 0 assessment before beginning?

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Are you willing to complete the Day 31 reassessment so you can compare your movement?

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Are you willing to respect the confidentiality of other women in the community?

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Are you willing to refrain from unsolicited counseling, prophecy, deliverance, diagnosis, or private ministry toward other participants?

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B

Do you understand that The Breakthrough Room is a faith-based educational and spiritual formation experience and is not therapy, medical care, crisis intervention, or legal services?

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Why do you want to be one of the Founding 100?

If accepted, are you willing to complete your onboarding within 72 hours of receiving your acceptance email to secure your Founding 100 seat?

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APPLICATION AGREEMENT

Before submitting, I understand that:

• Submitting an application does not automatically guarantee acceptance. • Founding 100 seats are limited. If accepted, I must complete onboarding within 72 hours of receiving my acceptance email. • Failure to activate my seat may result in the seat being offered to someone on the waitlist. • I am not required to publicly disclose personal or traumatic details.