• RUBIOLOGY METHOD™ CLARITY COACHING INTAKE FORM

    RUBIOLOGY METHOD™ CLARITY COACHING INTAKE FORM

    With Stephanie Rubi, R.E. 📍Claremont, California |🔗www.therubiology.com | 📸 @rubiologyofficial

  • 🧾Application Overview

     

    Thank you for your interest in the Rubiology Method™ Coaching & Mentorship.

    This intake form is required prior to booking your Clarity Coaching Session with Stephanie Rubi R.E.

    The Clarity Session is a one-on-one, paid consultation designed to assess where you are in your electrology journey, where you want to go, and what your next best step looks like.

    This is not a school, certification, or licensing program.
    This is mentorship—built around real experience, real guest care, and real results.

    Coaching pathways may include:
    • Technique refinement
    • Business and growth strategy
    • Observational learning
    • Mentorship guidance (based on location and licensure)

    All recommendations are customized based on your experience level, goals, and legal scope of practice.

    ⸻

    IMPORTANT BEFORE BOOKING

    • This intake form must be completed in full before scheduling your Clarity Coaching Session
    • The Clarity Session fee is $75 and is non-refundable
    • Submission of this form does not guarantee eligibility for all mentorship formats
    • In-person or hands-on opportunities are determined based on licensing laws and experience

    ⸻

    WHAT WE FOCUS ON

    The Rubiology Method™ is rooted in results-driven electrolysis for all skin tones and hair types, with a strong emphasis on:

    • Two-handed technique
    • Positioning, posture, and longevity in your career
    • Melanin-rich skin and textured hair
    • PCOS, hormonal imbalance, and menopause-related growth
    • Transgender and gender-diverse care
    • Sensitive skin and trauma-informed practices

    ⸻

    WHO THIS IS FOR

    • Licensed electrologists wanting to refine and grow
    • Individuals exploring electrology as a career path
    • Practitioners looking for real mentorship, not fluff
    • Those ready to invest in their skill, mindset, and direction

     

    "The most important investment you’ll ever make in this work… is you."

     

  • ⚖️ LICENSING RESPONSIBILITY

  • Each state has different requirements for practicing electrology. It is your responsibility to understand and follow the laws in your state or country.

    ✅ We recommend reviewing your state requirements here:
    👉 AEA Licensing Requirements

  • Have you reviewed your state’s electrology requirements using the link above?*

  • 🚨 Please review your state’s electrology requirements before continuing.🚨

    You can find the link above under “Check Your State’s Electrology Requirements.”

  • 💬Tell Us About You

  •  -

  • ✅ Your state requires a specific license for electrology.✅

    Be sure to meet the training and licensing requirements outlined for your state before applying.

  • ⚠️ Your state does not currently require a specific electrology license⚠️

    However, it’s still your responsibility to follow any related state or local regulations (such as business licenses, health department standards, or cosmetology overlap).

  • 📂Professional Background (Uploads)

    To help us understand your current level and ensure we stay aligned with legal and safety standards, please upload any applicable documents below:
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • 🎯Your Experience

  • What best describes where you are right now?:*
  • Have you ever received coaching or mentorship in electrology or business?*

  • 🔍 Loupes (Magnification)

  • Do you currently use loupes (magnification glasses) during your electrolysis treatments?*

  • 👁️ Visual Readiness

  • Do you use or anticipate needing any visual supports (such as glasses, contacts, magnification, or other tools) to comfortably participate in observational or in-person experiences?*

  • 🗓️Coaching Direction & Interest

    Coaching may include virtual sessions, business and professional guidance, observational learning, and, where legally permitted, in-person hands-on mentorship. All recommendations are made after your clarity session based on your goals, experience, and legal eligibility.
  • Which type of support are you most interested in right now? (select all that pply)*
  • Are you open to traveling to Claremont, California if in-person mentorship is recommended?*
  • What level of commitment are you currently open to?*

  • ✅Acknowledgment & Agreement

  • Please review and confirm the following:*

  • 💳 Payment & Participation Acknowledgment

  • Please review and confirm the following:
  • Date of Signature*
     - -
    2 digit month, 2 digit day, 4 digit year

  • 💳Final Step: Submit

    Our office will contact you for payment to process your application.

  • To complete your application, our office will contact you to process the $75 non-refundable application fee after you submit this form.
    A member of our team will follow up within 2 business days regarding next steps.

     

    ✨ We look forward to connecting with you and supporting your journey✨

  • Should be Empty: