Apply to work with me
Your Name & Information
Full Name
*
First Name
Last Name
E-mail
example@example.com
Are you ready to create a life and career that feels aligned with who you truly are?*
Yes
No
Tell me a little bit about yourself and what you are currently doing for work?*
What would you love to have happen in your life in the next year and beyond?*
Do you have any financial goals? How much would you like to be earning?*
Why do you want to earn $___? What’s the purpose of it?*
What’s your biggest dream for your life and career right now?*
What’s the #1 thing holding you back from living that dream today?*
What are your top 3 priorities for the next 12 months?*
What would achieving these priorities change for you personally?*
Have you ever invested in a coach, mentor, or personal development program before? *
Yes, multiple times
Yes, once
No, but I’m ready to
When it comes to investing in yourself, which best describes you?*
I know what I want and I make decisions quickly
I like to think and reflect before making a decision
I usually want input from others before moving forward
If accepted, how soon are you ready to get started?*
Immediately
Within 30 days
Within 3 months
Why do you feel now is the right time for you to make this change?*
How serious and committed are you to getting the results you want NOW?*
Very serious and committed
Somewhat committed
Not committed
Please share what makes you unique in your opinion and give three reasons why you’d be a great candidate for us to work with.*
Submit
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