Creative Compass Application Form

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Image Field
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Full Name* This field is required.
First Name
Last Name
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Preferred Pronoun(s)
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E-mail* This field is required.
example@example.com
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Phone Number* This field is required.
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Company/Personal Website
Ex. www.venusrisingmedia.com
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Instagram Handle
@agirlnamedcharly
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What time zone will you be in during this container?
ex. Eastern Standard Time
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What are your current life PASSIONS?
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What project are you seeking to bring to fruition during this container?
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What communities/people are you seeking to impacted with your project?
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On a Scale of 1-10, how committed are you to the fulfillment of your project? (1= Not Very, 10=Completely Committed)
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What statements below do you most resonate with?
I am in the process of exploring my creative expression, passions, and life purpose.
I am clear about my passions & purpose but feel overwhelmed about where to start.
I am clear about my passions & purpose but am seeking structure to ground my ideas into reality.
I am clear about my passions & purpose but seeking the tools to create financial freedom.
Other
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Please share about your overall life VISION, goals & dreams ?
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What areas are you most excited to develop in this container? ( Choose as many that apply)
Passion & Purpose
Creative Self-Expression
Accountability
Performance Strategy
Play & Process
Patterns of Limiting Beliefs
Masculine & Feminine Energy
Money Mindset
Embodied Leadership
Archetypes
Other
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What I VALUE most in life is _______________. (Fill in the Blank)
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Where do you get stuck in the creative process? AKA What is the biggest thing standing in your way?
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Where do you draw inspiration from? (I.e. - Nature, Music, People...)
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What tools do you rely on for support? (people, mediation, nature, journal, music... etc)
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What superpowers do you have?
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What are the best days for you to be reached during the container ?
Monday
Tuesday
Wednesday
Thursday
Friday
Weekends
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Will you be able to attend all 8 Weeks? If not, please share what dates you will be missing.* This field is required.
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Is there anything else you would like Charly to know about yourself?
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The Creative Compass Container is designed to support you in the expansion of your Creativity, Leadership, and Power. The investment in this container is $555 with payment plans available. Are committed to making this investment in yourself?
I am ready to step into my power.
I am committed and need a payment plan.
I am not ready to make this kind of investment.
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