You can always press Enter⏎ to continue
Illuminate YOUR Path to Purpose Mastermind
Please fill out the application to be accepted for mentoring in this exclusive program.”
24
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
APPLY NOW
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
APPLY NOW
Press
Enter
3
Where in the world are YOU?
City & Country
Previous
Next
APPLY NOW
Press
Enter
4
1. Evaluating yourself currently, are you showing up as the best version of yourself?
*
This field is required.
If so why, why not?
Previous
Next
APPLY NOW
Press
Enter
5
2. Which specific life areas do you want to improve on through the Illuminate YOUR Path to Purpose Mastermind?
*
This field is required.
Please answer a detailed as possible
Previous
Next
APPLY NOW
Press
Enter
6
3. Rate yourself in terms of willingness and ability to give support to others in the Mastermind on a scale of 1-10.
*
This field is required.
1
2
4
5
6
7
8
9
10
Previous
Next
APPLY NOW
Press
Enter
7
4. Rate yourself in terms of willingness and ability to receive support from others on a scale of 1-10.
*
This field is required.
1
2
4
5
6
7
8
9
10
Previous
Next
APPLY NOW
Press
Enter
8
5. What is the experience you intend to create through participating in the Illuminate YOUR Path to Purpose Mastermind?
*
This field is required.
Please answer as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
9
6. What do you do for your Job/Career/Business?
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
10
7. Describe your family and relationships:
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
11
8. What are you creating and what support do you require?
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
12
9. Have you ever participated in a Mastermind group before?
*
This field is required.
If so, which one and what did you gain from your experience?
Previous
Next
APPLY NOW
Press
Enter
13
10. Do you meditate and visualize? If so please describe your process
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
14
11. Are you willing to do what it takes, challenge yourself to get OUT of your comfort zone, eliminate excuses and be unstoppable towards your own success?
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
15
12. If you could choose the types of people to support you in your life, what would their skills, experiences and resources be?
Please Select One
Positive
Supportive
Creative
Kind
Understanding
Encouraging
Leader
Committed
Authentic
Fun
Courageous
Please Select One
Please Select One
Positive
Supportive
Creative
Kind
Understanding
Encouraging
Leader
Committed
Authentic
Fun
Courageous
Previous
Next
APPLY NOW
Press
Enter
16
13. Are you willing to make this group a major priority in your life for the term of the agreement?
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
17
14. Please provide some details about what this group means to you and how it will be integrated into your life
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
18
15.What are the top 3 CHALLENGES you wish to overcome to create the life you want, access your true potential, and live on purpose?
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
19
16. What is the cost of NOT overcoming those challenges? Please be specific and focus on what matters to you (living your purpose, relationships, home life, peace of mind, financial success).
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
20
17. How do you want your life to be at the end of our 6 months together?
*
This field is required.
Please be specific.
Previous
Next
APPLY NOW
Press
Enter
21
18. If accepted into the program, what are the top 3 successes you want to accomplish in our time together?
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
22
19. What is your current annual income?
Under $50,000
$50,000 - $80,000
$80,000-$100,000
$200,000
$500,000
1 Million or more
Previous
Next
APPLY NOW
Press
Enter
23
20. If accepted into the program, will you be able to commit to the investment of time and money joyfully? (I will share the investment with you in your interview.) When you invest in yourself, you allow yourself to receive this level of support, and you step up to meet the opportunity; YOU are transformed.
*
This field is required.
Please answer this as detailed a possible
Previous
Next
APPLY NOW
Press
Enter
24
21. Please note any additional details that you believe will assist us, as I review your application.
*
This field is required.
You will receive a confirmation reply from us within two business days.
Previous
Next
APPLY NOW
Press
Enter
Should be Empty:
Question Label
1
of
24
See All
Go Back
APPLY NOW