Coaching, Managament or Mentoring Application
Fill the form below accurately indicating your needs, potentials and suitability to what you are applying for.
Name:
*
First Name
Last Name
Phone Number:
*
-
Area Code
Phone Number
E-mail Address:
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about Shaura?
*
Event
Social Media Ad
Friend
Facebook
Twitter
Craigslist
Other (please specify)
Do you have a Brand yet?
Upload Logo or photo of Brand
What are your social media handles?
Describe why you want to work with Shaura and what assitance are you requesting from Shaura:
*
Are you struggling with Business, Marketing, Mindset, startup cost or ALL?
Are you committed to your brand, coaching or project your seeking help with?
Yes
No
Unsure
If you were selceted to work with Shaura are you ready to invest in your next steps?
Yes
No
It depends
I'm interested in financing options
References
Please list two (2) references that are familiar with your work life.
Reference 1
Name:
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Years Known:
*
Reference 2
Name:
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Years Known:
*
Submit Application
Should be Empty: