Seidrkin Mentorship Application

Seidrkin Mentorship Application

Thank you for your interest in working with me.This form is the first step in determining if private mentorship is the right fit. I work exclusively with high-achieving women who are ready for deep, lasting transformation — women committed to investing in themselves to expand their power, presence, and embodiment. Women who are here to leave a legacy in their wake. Please answer these questions thoughtfully. Your responses will help us both see if this container is the right fit.
Email
example@example.com
Full Name*
Instagram / Website / LinkedIn (optional) name?
Current Life & Goals - What is your current professional or personal role? What is the main transformation you want to experience in the next 6 months?*
Readiness & Investment - Why are you ready to invest in yourself at a high level right now?*
Mindset & Embodiment - How connected do you feel to your body and internal guidance? What patterns or blocks feel like they are holding you back from your full power?*
Alignment & Intentions - What would success look like for you at the end of this mentorship? *
What do you love about yourself?*
Anything else you feel I should know before we speak? *
What's your birth date? Note: To avoid confusion with U.S. vs European format, please write the month instead of using its number (e.g. Apr 10, 2025)*
What's your exact birth time? Note: If your birth time is an estimate, or if you simply don't know it, please note that in your response.*
What city/state/country were you born in?*
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