180° Rising Academy Application
Identity Architecture & Leadership Recalibration
5-Month Structural Identity & Proprietary Intelligence Journey
Contact Info
Contact Info
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Name
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First Name
Last Name
Email
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Phone
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Do you have a pull towards
Anchoring Your Sovereign Authority
Activating your Inner knowing & Intelligence
Internal Structural Stability and Intuitive Precision
Developing High-Level Sensory Precision for Facilitation or for self
Accessing Your Primary Identity Blueprint
Dissolving Core Identity Blocks and Generative Recalibration
Quantum Identity Recalibration
Clearing Internal Structural Friction and Core Alignment
Bio-Acoustic & Frequency Integration
Structural Geometry & Narrative Codes
All of the above
What called you to this program? (Feel into it—what part of you is saying yes to this journey?)
Are you planning to integrate this Academy professionally (as a practitioner/facilitator), or primarily for personal mastery?
Personal Mastery & Leadership Recalibration
Professional Facilitation & Certification
The Integrated Path (Both personal recalibration and professional certification)
Have you ever performed a deep audit of your Identity Blueprint or core energetic architecture?
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Yes
No
Do you currently facilitate transformation or high-level strategy for others?
Yes – professionally
Yes – occasionally
Not yet, but I feel called
No – just for myself right now
What specific internal or professional shift are you seeking to anchor through this recalibration? (Consider your personal leadership, the stability of your impact, or the precision of your facilitation.)
Commitment + Alignment
This journey requires a commitment to daily integration practices and sobriety. Are you ready to maintain the internal discipline necessary for this structural shift?
Yes, I’m all in
I have questions regarding the time/energetic commitment (please explain).
I'm undecided
If you have questions please share..
While we ask participants to avoid recreational drugs or alcohol during the program, I understand some may be on supportive or prescribed medicines, or may occasionally enjoy a glass of wine. The goal is to maintain energetic clarity and high-frequency coherence throughout this work. If any of these apply, we’ll simply discuss it together on a short Zoom call to ensure the program fully supports your system and energetic needs.
Yes, I’m currently taking supportive or prescribed medicine(s) and am open to discussing this during our Zoom consult or via email.
No, I’m not taking any medicines and do not consume alcohol at this time.
I occasionally enjoy a glass of wine and understand the importance of energetic clarity and will honor this commitment during the container.
Yes, I do consume alcohol, or recreational medicine
Prefer to discuss privately during our consult.
How much time would you be willing to put into this container daily/ weekly?
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Insert NA if you don't have one.
What’s your “why”? Why now, why this, why you?
If accepted, would you be open to a short alignment call before beginning the program?
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Yes, I’d like to book an alignment call (standard session rate applies)
No, I feel aligned and ready to begin.
Enter the email you’d like me to contact. Check your inbox and spam for a reply within the next few days.
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