Private Coaching with Fleur - Application Form

Apply for Private Coaching with Fleur
Please fill out this form carefully.

All spots are limited, and Fleur meticulously reviews each application to ensure a beneficial experience for both parties. Successful applicants will receive a confirmation email with further details on how to proceed.

Please note that this private coaching program is only offered 1-2 times a year to a select few individuals. If you are not selected for a specific round, your application will remain on our list unless you opt-out.

For more information please go to: fleurleussink.com/private-coaching
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Provide An Email To Best Reach You*
example@example.com
Phone Number*
Please enter a valid phone number with country code.
Which Time Zone Are You In?*
Country of Residence*
Have you taken any of the following courses or programs with Fleur? (This will not impact eligibility for the private coaching)*

Intuition Mastery MethodIntuition Mentorship Part 1Intuition Mentorship Part 2Intuition Activation RetreatsIntuition For The Empath - Self Paced CourseNo prior courses from Fleur takenOther
I consider to be:*

BeginnerIntermediteAdvancer
Have you participated/attended/taken any spiritual courses previously? If yes, please provide details about the courses and when you took them. *
Have you participated/attended/taken any self-development courses? If yes, please provide details about the courses and when you took them. *
How much time have you dedicated to your self-development journey? *
Please provide a brief paragraph describing your motivations for embarking on your spiritual and self-development journey, why you feel this moment is significant, your reasons for applying, and the specific areas of self-development you wish to focus on.*
The 8 week coaching program is $6800. Should you be selected, you will be asked to make a $800 non-refundable deposit to secure your spot, and we will reach out to discuss a payment plan option that works for you. Please contact us to define the best payment plan for you info@mediumfleur.com.

After you submit your application, we will send you an email with more details to start to prepare your journey. Please make sure to check your spam!
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Apply for Private Coaching with Fleur