Clarity Kickstart Cohort Application
This is a small group coaching experience built on honesty, structure, and presence. Please complete the short application below so we can ensure this container is the right fit—for both you and the group.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Self-Reflection
What you write here sets the tone for how we work together.
1. What made you consider this cohort now? What’s happening in your life that led you here? Be as honest as you want—this space is built for truth.
*
2. What area of your life feels out of rhythm right now? Work, energy, identity, relationships, decision-making? No wrong answer.
*
3. How do you tend to show up when things get unclear or uncomfortable? This helps me coach you with more precision, not assumption.
*
4. What does clarity look like for you in this next season? Don’t overthink it. Give me your version—not the polished one.
*
Commitment Check
This only works if you show up for it.
5. Are you available to attend all five live coaching sessions? Replays are not included. Live presence is part of the process.
*
Yes, I’ve reviewed the session times and can attend all five.
I can attend most but may have 1 conflict.
No, I’ll miss more than one session.
Are you prepared to engage with the weekly tools and check-ins?This isn't heavy workload—it’s intentional rhythm work.
*
Yes
No
7. If accepted, are you ready to make the $297 investment or use a payment plan?Payment confirms your spot. I’ll share details after review.
*
Yes, I’m ready.
I’ll need the payment plan.
I’m interested, but not ready to invest at this time.
Confidentiality Agreement
What’s shared in the room stays in the room.
I understand that the Clarity Kickstart Cohort is a shared, live experience. I agree to respect the privacy of other participants and to keep all personal stories, insights, and identities shared in the group confidential.
*
I agree
Anything else you want me to know?
Submit
Should be Empty: