Training Application Form

Private Coaching & Consulting Application

I offer a free 15-minute consultation, with my money-back guarantee, there's no risk involved. If you're not satisfied with our first call, simply let me know and I'll refund you immediately. Let's become unstoppable! Fill out the quick form below and you will get a response within 24 hours (usually much sooner).
Name*

First NameLast Name
Age*
E-mail*
example@example.com
do you have social media? if so what is your username?
which are you interested in:

Personal Brand & Social Media ConsultingPersonal CoachingCreative ConsultingAll of the above
What do you do currently for a living?*
Which package are you interested in?*

Transformation Package - $3000 - This package is for clients who are looking for a more in-depth and sustained change and includes 6 one-hour sessions, as well as email or text support between sessions. A 30-min check-in call can also be includedVIP Package - $10,000 - This package is for clients who want the highest level of support and includes 12 one-hour sessions, email and text support, as well as a check-in call, and 2 hour long group sessionELITE - 1 Full Year of Private Coaching - $25,000
What do you hope to achieve through coaching/Consulting?*
What challenges are you facing that you hope coaching can help with?*
On a scale of 1-100, how committed are you to making changes and improving your situation?*
Have you worked with a coach or received any similar services in the past?
If so, how did those experiences go and what did you learn from them?*
What are your preferred days and times for coaching sessions?*
Is there anything else you would like me to know before we start working together?*
How did you find me?*
What state or country do you live?*
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Private Coaching & Consulting Application