Name * First Name Last Name Email * What does powerlifting mean to you? * Are you training for powerlifting competition? * Yes No If you are currently training, please provide your current squat, bench press, and deadlift numbers. Please include weights, units, and reps, as well as whether they were in competition or not. * How many days per week do you currently train? How many hours per session? * Are you currently or previously injured? Are there any movements that are problematic or that you cannot perform? * What are your goals in powerlifting? How committed to those goals are you? Where and how does powerlifting/training fit into your life? * What is your training environment like? Are you in a commercial gym? A powerlifting gym? Home gym? What is your equipment selection like? * Tell us about your Squat. Bar position, stance, grip width, etc. Any relevant details? * Tell us about your Bench. Grip width, arch, soft/hard touch etc. Any relevant details? * Tell us about your Deadlift. Conventional/Sumo, mixed/hook, any issues , etc. Any relevant details? * How many years/how long have you been lifting for? * Do you have a background in other sports? * Have you competed before? If so, how many meets, and what weight class(es)? * Have you worked with a coach previously? If so - have you noticed anything in previous coaching relationships that worked especially well or didn't work well? * Have you previously, or are you currently using PED's? * Yes, currently Yes, previously No When would you ideally like to start coaching? * MM DD YYYY Where do you live? * Country is fine, just for billing purposes Any Additional Info/Comments? Thanks for submitting! We will respond to coaching applications as soon as possible!