Partnership Application

Partnership Application

Welcome - I'm so glad you're here. This application is the first step in exploring if we may be an aligned fit to work together. The below application typically takes 10-20 minutes and there is no payment required at this time. Once received, I will personally review your responses and reach out with next steps. -Becka
This work is a collaborative partnership rooted in personal responsibility, openness, and readiness.
Contact Information
Full Name*

First NameMiddle NameLast Name
Email Address*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Partnership Application
I found out about Becka Suzanne via:
What are you currently seeking clarity or support around? Briefly describe your goals and expectations.*
I feel most aligned with exploring (please select all that apply):

Transformation: 6 Session Container (Conscious Clarity)Clarity: 1:1 Coaching SessionPrecision: Releasing the Belief (CTF™)Other (please elaborate in goals and expectations above)
Please share any modalities, practices, or frameworks you may be familiar with or have explored (select all that apply):

MeditationBreathworkYogaHuman DesignNumerologyEnergy WorkReikiSomatic PracticesMindfulnessChakra BalancingPositive PsychologyClear the Fear™Emotional Freedom Technique/Tapping (EFT)Inner Child WorkShadow WorkInternal Family Systems (IFS) and/or Parts WorkTrauma-Informed WorkNone of the Above - I'm brand new to this workOther
Preferred Availability (select all that apply): Please note all sessions will be confirmed directly with you prior to being scheduled; Becka Suzanne will work diligently to align schedules for the highest good of all.

MondayTuesdayWednesdayThursdayFridayWeekend Only (Please note these days are not typically scheduled)Mornings (7am-10:59am CST)Afternoons (11am-2:59pm CST)Mid-Day (3:00pm-5:59pm CST)Evenings (6:00pm-9:59pm CST)Other
What feels most alive for you to explore right now? *
What makes now the right time for you to invest in this work? *
What to Expect in a Session with Becka
- Connection: Sessions are held via Zoom for your comfort and convenience.
- Scheduling: Session times are verified and confirmed at least 24 hours prior and are scheduled to align for the highest good of all.
- Preparation & Communication: Most communication between sessions happens through email, with the option to connect via WhatsApp or Telegram for brief check-ins or confirmations.
- Reminders: You'll receive a session reminder approximately one hour before meeting.
- Post-Session Support: After each session, you'll receive an AI generated personal recap highlighting key insights, themes and next steps - allowing you to stay focused on integration rather than note-taking.
- Environment: You'll be encouraged to create a quiet, comfortable space where you can be fully present.
Each session is designed to feel calm, clear and intentional - giving you the structure, support & space to reconnect with your inner truth.
Signature & Acknowledgement
By signing below, I acknowledge that I have accurately completed the above application. I have also read, understand and agree to all of the terms and information presented above.*
This work is a premium, personalized investment in your growth and expansion. Pricing details will be shared during next steps if we feel aligned.

If we feel we are not the right fit at this time, I may offer a referral.

Should openings not be immediately available, a waitlist position may be extended.
There is no obligation to move forward after submission.
Should be Empty:

Partnership Application

Contact Information

Partnership Application

Signature & Acknowledgement

There is no obligation to move forward after submission.