Exclusive Coaching Application
This application is reviewed personally by Raul Lopez Jr. Thoughtful, honest responses help determine if this private partnership is the right fit. Expect 10–15 minutes to complete.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Current Professional Role or Business Overview. Briefly describe key focus areas.
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What prompted you to seek private, high-level advisory at this exact moment? (Be specific—what internal or external trigger, pressure, or opportunity made now the right time?)
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Describe the biggest challenge or pattern you're currently navigating that quietly limits your fulfillment, or legacy. (e.g., decision-making under pressure, emotional control in high-stakes situations, misalignment between personal identity and business vision.)
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What does true mastery look like for you in the next 12–24 months? (Think beyond metrics—leadership presence, emotional command, aligned decisions, personal fulfillment amid growth/reinvention.)
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How do you currently handle high-pressure decisions or emotional volatility in personal leadership/relationships? (Give a recent example if possible—what worked, what didn't, and what you'd like to change.)
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What have you already invested in (time, money, other coaches/programs) to address these areas, and what results did you achieve—or fall short of?
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Why does a strictly private, full-access (max 5 clients) partnership appeal to you over group programs, courses, or common coaching?
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What outcome would make this partnership feel like an exceptional investment for you? (Be as specific as possible—personal, professional, relational, financial, or legacy impact.)
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Is there anything else I should know to determine if we're likely aligned for this level of private work? (e.g., values, non-negotiables, past experiences, or why discretion and precision matter most to you right now.)
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Investment Readiness (This is a $2,500/month private engagement. Are you prepared and able to commit to this level of investment for the depth of work described?)
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Yes - I want this
No - I don't believe in myself (please explain briefly)
If you answered 'No' above, please briefly explain your investment readiness or circumstances.
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How did you hear about this opportunity? (Referral name, website, post, podcast, etc.)
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