Reintroduce Yourself to Yourself… “I AM.”
Personal Information
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
City & State
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age Range:
25-34
35-44
45-54
55+
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Commitment & Readiness
What is your primary reason for applying to this experience?
Breaking free from past pain, patterns, or unhealthy cycles
Gaining clarity, confidence, and deep spiritual connection
Stepping into my next season of growth and purpose
Other (please explain)
What has kept you from feeling fully aligned—spiritually, mentally, emotionally, or relationally?
Have you previously invested in personal development, mentorship, or coaching?
Yes, and it was transformational
Yes, but I didn’t get the results I needed
No, this is my first time at this level
Other (please explain)
Why do you believe now is the right time for this journey?
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Readiness & Commitment
This experience requires a high level of personal commitment and self-investment ($18,000).Which best describes your readiness?
I am fully ready to invest and commit to thisprocess.
I am prepared and want to ensure this is the right fit for me.
I know this is for me, and I am seeking clarity before moving forward.
What does committing to your own healing and transformation mean to you?
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Expectations & Next Steps
What do you expect to gain from this experience? How will you know it was successful for you?
This journey requires deep commitment, honesty, and vulnerability. Are you ready to step fully into this process?
Yes, I am fully ready.
I believe so, but I have questions.
Is there anything else you'd like to share about why you should be selected?
Once you submit your application, we will carefully review your responses. If approved, you will receive an exclusive invitation to book a private call to discuss the next steps.
Submit Application
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