Mentorship Application

1
What's your full name?* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
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Phone Number* This field is required.
Country Code
Phone Number
4
What is your age?* This field is required.
5
What inspired you to apply for this mentorship?
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6
What patterns, challenges, or relational dynamics are you currently navigating?Be as specific as you can—emotionally, relationally, spiritually.
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7
What is your vision or desire for yourself right now?What are you longing to reclaim, embody, or experience?
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8
What feels most “in the way” of your next level in life, expression, and/or leadership?What do you perceive are your blocks, shadow, or defensive parts?
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What previous therapy, healing or spiritual work have you done (if any)?Briefly name modalities, experiences, or teachers you’ve worked with.
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How do you relate to God, or a higher power, in your life right now?What is your current spiritual relationship, practice, or connection point?
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11
What does your ideal support in this container look like?
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Are you ready to take responsibility for your triggers, patterns, and wounding?* This field is required.This is not about perfection—it’s about willingness.
YESNO
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Are you ready to take radical responsibility for your healing, triggers, patterns, and projections?* This field is required.This is not about perfection—it’s about willingness.
YESNO
14
Do you feel ready and resourced to invest financially, energetically, and emotionally in a 3–6 month mentorship?* This field is required.
YESNO
15
Please schedule a 45 minute Discovery Call with me below, where we'll dive deeper into your answers to the above questions and I'll share more specifics above my mentorship container:
16
Is there anything else you feel Luke should know about you or what's most present in your life?Open space for full truth or personal context.
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