Inner Zodiac Mentorship Program Application

1
This is an exciting possibility to learn together. And there is no limit to how deep or far one can travel on the internal planes. The universe is our mirror and the stars are our greatest allies. I appreciate your honesty as your heartfelt answers will help me clarify your intention for the most effective and profound experience possible.
2
How did you hear about the Inner Zodiac Mentorship Program? And how do you imagine it will be without knowing much about it?
3
When is your birthday?
Date
Month
Day
Year
4
Please share where you were born (city and state/country), and exact time of birth.
5
Where do you live now? And how do you spend your time?
6
What inspires you to apply to this program?
7
Which of these topics interests you the most?
Please Select
Please Select
Inner Work
Astrology
Transformation
Psychology
Rhythms & Cycles
Community
8
What is it about your previous choice that speaks to you?
9
Which of these subjects are you most drawn to learn?
Please Select
Please Select
The Psyche
Planetary Archetypes
The Internal Kingdoms
Luminaries
Astroid Magic
Rhythms & Cycles
Other
10
What is it about the previous subject that speaks to you? And if you chose "other", please expand.
11
Are you ready to change your life?
Yes
No
12
Do you want to share any thoughts about the changes you can imagine?
13
Are you willing to change your own mind?
Yes
No
14
What comes up for you when thinking of changing your mind?
15
What is your intention for applying to this program?
16
Are you willing to be honest with yourself and others in this program?
Yes
No
17
Are you willing to share your birth chart and work through your chart with others in the program?
18
Do you agree that you are responsible for your own well-being?
Yes
No
19
Do you agree that you are responsible for your words, actions, thoughts and emotions?
Yes
No
20
What is your current greatest obstacle in life? How do you feel this program can support you in transcending this?
21
What is your vision for your personal future?
22
This is a year-long program, committed to meeting up 2x monthly online. Is that possible for you?NEXT
Please Select
Please Select
Yes
No
23
Is there anything else I should know? And what other questions do you have besides cost and start date? (Those will be disclosed once the application is reviewed)
24
I have read and agree to these terms.
Yes
No
25
Name
First Name
Last Name
26
Date
Date
Month
Day
Year
27
Email
example@example.com
28
Phone Number
Area Code
Phone Number
Should be Empty: