Mastermind Application

Please fill out the form below in it's entirety. Incomplete applications will not be reviewed.
Personal Information:
First Name *
First Name
Last Name *
Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
E-mail *
(Please use the same email you gave for the appointment booking)
Your Business Website Url *
(If you don't have one, Please type "NO SITE"):
Questions and Details:
My day job is . . . *
Please select one
Brieﬂy Explain Your Current Professional Pursuits. *
How Many Hours Per Week Do You Spend Working (F/T, P/T, Side Hustle, Etc.)? *
Please select one
How many hours per week do you spend working on YOU (ﬁtness, self-care, relationships, spiritual practices, etc)? *
Please select one
Do you ever feel like work is preventing you from enjoying other parts of your life? If so, what would you be doing more of? *
What has been your greatest obstacle to creating "work/life balance?" *
What are your Top 3 personal goals for 2020? *
What are your Top 3 professional goals for 2020? *
Describe what achieving all the goals you listed would mean to you? To your family?
IF SELECTED . . .Are you ready to be guided in goal-setting in EVERY pillar (FIT, PEOPLE, SPACE, FAITH) and not just money and business? *

YES NO
Will you make time for bi-weekly calls with your accountability pod? *

YES NO
Will you commit to attending our 2 LIVE retreats if given adequate time to schedule and plan? *

YES NO
Do you accept that any potential business will come from offering value and building genuine relationships, but this is NOT a networking group? *

YES NO
Are you willing to actively support, celebrate and encourage the women in your accountability pod without giving unsolicited coaching or using condescending language? *

YES NO
Will you protect the space by helping to maintain a gossip-free zone? *

YES NO
What do you expect to gain from being in a women's ONLY holistic mastermind? *
Finally, what can you uniquely contribute to a women's ONLY holistic mastermind? *
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