Private Mentorship Application

1

Are you currently in a coaching or mentorship container?* This field is required.It can be any type or form of mentorship

YESNO

2

Why are you interested in private mentorship, and specifically why now?* This field is required.

Describe it in as few words as possible.

3

How safe & authentic do you feel in your life at present?* This field is required.

1
2
3
4
5

Terrified & Hiding

Eternally & Undeniably Myself

4

What do you feel you need the most help with right now?* This field is required.Choose all that apply.

I'm doing good, but I want to be great and it feels like something's missing

Freedom. I feel trapped and I don't know what to do about it

Meaning. I'm not sure who I really am, or whether I even have a reason for being here

Connection. I feel disconnected from people and lonely in my relationships

Trust. I don't trust other people, and sometimes I struggle to trust myself

Authenticity. Honesty is a challenge for me, I struggle to say (or even know) how I feel

Other

5

Would you prefer the shorter 6 month container, or the full 12 month container?* This field is required.Calls are weekly, and last for between 90 - 120 minutes.

6 Months12 Months

6

Provided we're a good fit, how soon would you want to get started?* This field is required.

As soon as possible

Later (3-12 months)

7

Private Mentorship can be paid either monthly or as a lump sum, and starts at US $1,110 / month. Do you have the funds to comfortably make this investment, even if it's a stretch?* This field is required.

YesNo

8

What's your full name?* This field is required.

First Name

Last Name

9

What's your best email?* This field is required.

Enter email

Confirm Email