Men's Program Application

***Read before you apply***

Filling out this application will put you in queue for The Conscious Man:

A Conscious Masculinity & Sacred Sexuality Men's Course

- 12 Week Men’s Group Coaching Experience on Passion, Purpose, Intimacy, Vulnerability & Ecstatic Sex

If we both end up deciding on you joining us for this 12-week experience, you will be challenged to both receive the results you desire all while being challenged to question everything about who you are so you can let go of anything that doesn't serve you and step into the full vitality of your powerfully integrated masculine!

Mentally. Emotionally. Sexually. Spiritually.

Are you ready for that?

If you really want to join, this is your space to let me know why.

The best coach-client matches are the ones who connect on the human-to-human level, so share your personality. I want to KNOW you.

**If you are approved, you’ll receive an email confirmation and a link to schedule an interview call with me to dive deeper. **

Can’t wait to chat with you!*

First Name

Last Name

Age

Email

example@example.com

Phone Number

Area CodePhone Number

Link Your Social Media Handles Below

What is your current relationship status? (Check all that apply)

Other

What are 3-5 words that describe you?

In what area(s) of your life are you most satisfied? What do you feel most proud of?

What area(s) of your life are currently the most unsatisfying or challenging? What is your biggest fear if this part stays the same?

What drew you and excited you most about applying for this program?

How aligned do you currently feel with your life's mission or purpose?

Part of stepping into the Conscious Masculine is knowing what your passion is and what sets you on fire for life...What is the thing you desire, dream about, love doing, or want to achieve MORE THAN ANYTHING ELSE in life?

What are the top 3 roadblocks you're currently facing that you perceive are holding you back from receiving that result?

What patterns have you noticed in your own relationships with women? (Romantic partners, friendships, co-workers, mother, etc.) What are the 'scenarios' that you constantly keep finding yourself in?

[Be honest!] How is your sex life?

Other

How confident do you feel in your own ability to be attuned your sexual partner and her level of enjoyment? What, if any, are your fears, challenges, questions around sex, intimacy?

This course is about unpacking societal conditioning together. What are some things you’ve felt like men have been told they're ‘not supposed’ to talk about? Anything that brings up shame, curiosity, interest, discomfort (ex: emotions, women's menstrual periods, the experience of sexual abuse, enjoying rough sex, etc.)

How would categorize the level of personal growth / self-discovery / healing / shadow work that you've done? (All types, reading, courses, plant medicines, psychedelics, therapy, journalling, meditation, yoga

How confident are you in communication and dealing with conflict?

If a genie could grant you 1 magical wish in regards to the opposite sex—that could help you forever demystify one aspect of them that baffles you, what would it be?

If accepted, are you mentally & emotionally prepared for this work?

If accepted, are you financially prepared to make an investment?

Have you invested in yourself & your personal development in the past? If yes, of what nature? (List)

Eg: Books, Private Coaches, Courses: Relationships, Business, Spirituality, Journaling, Meditation, Masterminds, Private coaches, Mens circles

What areas are you currently struggling with as you expand into new levels of embodying the conscious masculine?

Apply for "The Conscious Man" Course