Private Mentorship Application

1
What's your name?* This field is required.
First Name
Last Name
2
What's your email?* This field is required.
Email
3
Where are you at in your life that has motivated you to reach out for mentorship?* This field is required.
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4
Briefly describe your goals & what you want to achieve over the next 12 months.* This field is required.
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5
What do you feel is the biggest obstacle you'd like help with overcoming? Please provide as much detail as you can.* This field is required.
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6
How willing and able are you to invest in creating your best life right now?* This field is required.
I have the financial resources to invest in my success
I have access to financial resources to invest in my success
I do not have the financial resources to invest in my transformation
7
Finally, I am very selective about who I work with. My goal is to get everyone incredible results. Why do you feel that I might be able to help you?* This field is required.
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