Sovereign Self Mentorship Application

What's your full name?* This field is required.

First Name

Last Name

Email* This field is required.

example@example.com

Phone Number* This field is required.

Country Code

Phone Number

What is your age?* This field is required.

What is your current relationship status?* This field is required.

Single

Dating

In a relationship

Married

Separated

Recently ended a relationship

It’s complicated

Other

What motivated you to apply for this mentorship?* This field is required.

What are you currently struggling with most in love, relationships, or your relationship to men?* This field is required.Please share the recurring patterns, pain points, or relationship dynamics that feel most alive right now.

Which of these patterns do you recognize in yourself?* This field is required.

I lose myself in love or abandon my truth to preserve connection

I seek safety, validation, protection, or direction from a man

I become controlling, guarded, critical, or defensive when I do not feel safe

I over-function, mother, manage, or emotionally carry the relationship

I collapse, become overly dependent, or struggle to hold boundaries

I attract or remain with men who are unavailable, immature, inconsistent, or unsafe

I emasculate, criticize, or resent men while also longing to trust them

I struggle to receive masculine love, leadership, provision, or support

I know my father wound is still shaping how I relate to men

I am ready to take deeper responsibility for my healing and relational patterns

Other

What do you believe is the deeper wound or origin beneath these patterns?This may include your relationship with your father, mother, family system, past relationships, abandonment, betrayal, emotional neglect, control, lack of protection, or any place where love did not feel safe.

Where are these patterns currently impacting your life?* This field is required.

Romantic relationship

Dating

Marriage or partnership

Family dynamics

Parenting

Business, purpose, or leadership

Nervous system and emotional regulation

Self-worth and confidence

Sexuality or intimacy

Spiritual life / relationship with God

Boundaries and self-trust

Other

What have you already tried to heal or change this?* This field is required.Therapy, coaching, somatic work, women’s work, spiritual work, plant medicine, courses, books, relationship work, or anything else.

What would feel like a meaningful transformation for you over the next 6 months?* This field is required.Please describe the “heaven” you are moving toward — how you want to feel, love, relate, lead yourself, receive, create, and live differently.

What would become possible in your life if you were no longer ruled by this pattern?

How ready are you to take responsibility for your part in the pattern without blaming yourself or excusing others?* This field is required.

I am fully ready

I am mostly ready, but I know I will need support

I am unsure, but I am willing to explore

I am not ready for that level of responsibility yet

This mentorship requires a meaningful financial investment. If the work feels aligned, are you in a position to invest in yourself at this level?* This field is required.

Yes, I am ready to invest at this level

Yes, but I would want to discuss structure and timing

I am interested, but I would need more clarity before making a financial decision

I do not feel financially prepared to invest right now

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

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

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:* This field is required.

If accepted, when would you ideally want to begin?* This field is required.

As soon as possible

ithin the next 2–4 weeks

Within the next 1–2 months

I am exploring for later

I am unsure

Is there anything important I should know before we speak?* This field is required.Open space for full truth or personal context.