Human Design Mentorship Application
Before completing this application, please note that my private mentorship containers represent a meaningful investment. Human Design Mentorship begins at $8,888. Payment plans are available. This short application helps me understand where you are on your path and whether this container is the right fit for you.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Time of Birth
*
*Please indicate AM or PM
Place of Birth
*
City, State, Country
What is your experience with Human Design so far?
*
Examples: readings, studying your chart, courses, or simply curiosity.
What is calling you to explore Human Design more deeply at this time?
*
What do you hope to gain from a mentorship container like this?
*
If we were having this conversation a year from now and this mentorship had been meaningful for you, what would have changed in your life?
*
If we decided that this mentorship is aligned, when would you like to begin?
*
As soon as possible
Within the next 1–3 months
I am exploring for the future
Are you financially ready to invest in the level listed above if this mentorship feels aligned?
*
Yes
Yes, with a payment plan
Not yet
Is there anything else you would like me to know about you or your path right now?
Submit
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