1:1 Esthetician Mentorship Request Form

1:1 Esthetician Mentorship Request Form

Where thoughtful business strategy meets confident, results-driven hands-on care.
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Instagram or Tiktok Handle
Are you currently licensed as an Esthetician?
How long have you been practicing as an Esthetician?
Which best describes your current work situation?
Do you currently offer corrective or advanced treatments? If yes, which ones?
What feels most challenging right now in your business?
Other:
On a scale of 1–5, how confident do you feel in your client consultations?

1

2

3

4

5

1 is Worst, 5 is Best
What does “success” look like for you as a solo esthetician?
Which areas are you most interested in improving? (Select all that apply)
What are 1–3 specific goals you hope to achieve through this mentorship?
Are you open to feedback, refinement, and making changes to how you currently practice?
Preferred mentorship format:
Is there anything you’d like me to know about your journey or what’s holding you back right now?
Please provide at least five preferred dates you are available for training, noting whether you are interested in 2-hour, 4-hour sessions, or multi day.
Thank you for taking the time to apply. Submissions are reviewed thoughtfully, and selected applicants will be contacted to discuss next steps.
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