Coaching For Entrepreneurs And Creatives

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Thank you for applying for an exclusive premier spot as a Life With LeeNor Coaching and Consulting Client. We will review your application shortly and see if we're a good fit!
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Full Name* This field is required.
First Name
Last Name
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What is your time zone/ city?* This field is required.
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Direct Phone Number* This field is required.
Area Code
Phone Number
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E-mail* This field is required.
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How did you hear about Life With LeeNor Coaching?* This field is required.
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Are you a creative and/or entrepreneur? If not yet, do you plan on becoming one? Please explain: * This field is required.
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What kind of business/creative venture do you have or plan on having?* This field is required.
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Please pick your BEST TIME via ZOOM for a Video Phone Call. We will EMAIL to CONFIRM:* This field is required.
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Are you here for Level 1 (Become a entrepreneur, discover purpose and build your foundation) or Level 2 (Current entrepreneur, wants to grow and scale current business) * This field is required.
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What inspired you to fill out this form? How will coaching benefit you and what will happen if you don't pursue support right now?* This field is required.
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If you are a coach, what niche is your current niche?* This field is required.
Life Purpose
Career/Business
Relationships/Family
Health & Wellness
Work/Life Balance
Spirituality
Other
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Do you have time in your schedule over 3-6 months to do your weekly assignments and training to grow and scale your business?* This field is required.
Yes
No
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We have 4 levels of programs for our Life With LeeNor coaching clients! Which interests you?* This field is required.
Bronze Certification: a 4-Week "Intro to Entrepreneurship" either 1-1 or in a Small Group (by approval only) to explore the 90 day course (Best budget only)
Silver Certification: Self-Paced, at-Home Training with mentoring on the side + monthly 1-1 Power sessions with your Trainer Coach (One Flat Fee for your Course, then Monthly for the Press Program Business Launcher Training (Optional)
Gold Certification: Active, Weekly 1-1 Power Training Sessions with your Coach for 3 months
Platinum Certification: VIP 1-1 Weekly Power Training Classes with your Trainer Coach with a 6 Month Business Launch Agreement & Partnership
Not applicable, I'm seeking support in other areas (Not a focus on entrepreneurship or creative ventures)
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If you are invited to join, when are you ready to invest in your training & start coaching?* This field is required.
Immediately
In One Month
In 2 Months
In 3-5 Months
6 + Months
1 Year
Other time frame
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We are doing our first 3 day retreat in Miami 2021, would you like to be invited?* This field is required.
Yes
No
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Do you want to talk about becoming an affiliate and making $ on referrals to the Masterclasses & Programs?* This field is required.
Yes
No
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If coaching with LeeNor turns out to be a good fit for you, are you 100% willing to commit to your goals and invest in yourself and/or your business?* This field is required.
Yes
No
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Signature* This field is required.
Clear
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Date
Date
Month
Day
Year
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