Clone of Apply For "The Startup With Faith Program"

Apply For "The Spiritual Breakthrough Program"

Complete the application below as thoroughly and thoughtfully as possible. If upon reviewing the application the information is insufficient your next steps call will be rejected.
Section I • Applicant Information

We respect your privacy and will use the information your provide to determine whether you are a right fit, communication with you, and provide information about our program.
Full Name*

First NameLast Name
Phone Number*
SMS Consent:*

YesNo
E-mail*
example@example.com
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section II • Spiritual Information

Disclaimer: Coach Rechy is a Christian and provides coaching from a biblical perspective, incorporating spiritual laws and principles. While sessions are rooted in these values, people of all faiths (or no faith) are welcome, and this coaching program will always respect your personal beliefs and boundaries.
Business Name:
What is the name of your business?
Industry/ Niche:*
Describe your industry or niche?
Business Structure:

LLCS-CorpC-CorpSole Proprietorship
Stage Of Business:

Idea StagePre-Revenue StageLaunched StageGrowth Stage
Occupation Status:*

EmployedSelf-EmployedFull-Time EntrepreneurOther
Current Occupation:*

Business OwnerSales/ MarketingCoach/ ConsultantOther Professional
Biggest personal & spiritual challenge right now?:*
What motivates you to make these personal & spiritual changes right now?:*
Spiritual blockages you want to overcome through coaching?:*
What's your spiritual & personal visions/goals?*
How would you describe your faith or spiritual background?*
What role does faith or spirituality play in your life right now?*
Are there specific spiritual practices (prayer, meditation, fasting, etc.) that are important to you?*
Do you belong to a particular faith community, or do you practice individually?*
Are there any spiritual values or principles that guide your decision-making in life or business?*
How comfortable are you with integrating biblical or spiritual principles into our coaching sessions?*
Are there any spiritual practices or topics you’d prefer I avoid during our work together?*
Is there anything about your faith journey you’d like me to be especially mindful of as your coach?*
Do you consider yourself more spiritual than religious?*
What expectations do you have of me as a Christian coach when it comes to respecting your faith journey?*
Would you like me to reference scripture or keep it more focused on universal spiritual laws?*
Would you like me to reference scripture or keep it more focused on universal spiritual laws?*
Section III • Online Presence Information
Instagram Handle:
Website URL:
LinkedIn Handle:
Youtube Handle:
Section IV • Program Readiness and Expectations Information
If accepted, how soon are you looking to get started?*

Right now!Few weeks!Soon!
How willing and able are you to invest in your personal & spiritual transformation?*

I have the financial resources to invest in the growth of my business right now.I have to access the financial resources to invest in the growth of my business right now.I would like access to funding based on my credit.
How much money are you willing to invest right now in your personal & spiritual transformation?*

$5,000-$10,000$10,000-$15,000$15,000-$20,000
Where did you hear about us?*

Social mediaReferralWebsite
What is it going to cost you if you don't invest in your personal & spiritual transformation?*
If accepted, what do you believe you will accomplish due to your participation in the program?*
Are there any specific coaching methods or styles you prefer?*
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Apply For "The Spiritual Breakthrough Program"