Mentorship Application
I am thrilled that you are interested in being a part of the Fueled & Feminine Mentorship. Because I want to create an intimate environment for the women, I will be capping it at no more than 20 qualified ladies. I will only be inviting women who I feel will be a great fit for our small group. Please complete the application form below and you will hear from me if I want to invite you to be a part of the mentorship. Please be advised that submitting an application does not guarantee enrollment. I'm looking forward to reviewing your application to see if it's a fit!
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
In what city/state (or country, if you live outside the US) do you live?
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What is your age?
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Why would you love to be a part of Dr. Elly's mentorship?
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What are you struggling with the most? Please share a little about your main concerns that you would like support with from Dr. Elly:
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What do you hope to gain from this mentorship? Please list your top 1-3 goals you hope to accomplish by the end of the 12 weeks.
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What are you most excited to learn in this mentorship?
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Are you prepared to invest $997 in yourself to be a part of this mentorship? (Rate how prepared you are on scale of 1-10. 10=HELL YES!, 5=on the fence, 1=not at all.)
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Are you available on Tuesday evenings at 5pm PST / 8pm EST?
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Yes
No
Maybe
Submit
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