The School of Self & Relationships Application Form

The School of Self & Relationships Application

With Nedjma Sitadevi Belaid | Liberation Teacher, Writer & Speaker
Welcome! I’m so glad you’re here ❤︎

This application is a chance for both of us to get a little clearer on whether the School is the right fit.

There are no perfect answers and nothing to perform here.

I simply want to get to know you, understand what’s bringing you to the School, what you’re hoping to change, and how ready you feel to step into the work.

Take your time and share your Truth as you know it today.

I personally read every application and will reach out about next steps.
A little about you
Please enter your full name:
First Last
What is your best email address?
example@example.com
What is your phone number?
Please enter a valid phone number with area code.Format: (000) 000-0000.
Where do you live?
City, State/Province, Country
What’s bringing you here?
What has inspired you to apply to join The School of Self & Relationships at this point in your life?
Where in your life are you most wanting something to shift right now?(Select up to 3)

Other
Imagine yourself one year from now and this journey has deeply changed something for you. What would you most love to be different in the way you live, love, relate or experience yourself?
Why does that matter to you now? What would becoming that version of yourself make possible in your life?
Where are you starting from?
What kind of personal growth or inner work have you done before, if any? What has genuinely helped you, and where do you still find yourself getting stuck?
The School is designed to be lived, not simply consumed. You’ll be invited to bring the work into your actual relationships, emotions, choices and everyday life. What makes you feel ready for that kind of commitment right now?
Transformation requires openness, honesty and a willingness to see things we may not have been able to see before. On a scale of 0–10, how willing are you to lovingly examine your own beliefs, behaviors and ways of relating over the next year?
10 = Bring it on! 0 = I'm not willing right now
What made you choose that number?
How would you like to experience the School?
There are two ways to experience The School of Self & Relationships:

The Group Experience | $3,333 for one year
Learn, practice and integrate the work in community, with live monthly experiences, weekly support and an ongoing connection to the School.

Private Mentoring | $9,999 for one year
Walk the journey privately with me through ongoing one-on-one mentoring, between-session access, quarterly mapping and recalibration, and a personalized two-day virtual retreat.

Payment plans are available for both experiences.
Which experience are you most interested in?
What draws you to the experience you selected? If you’re considering both or aren’t sure yet, tell me what you’re weighing.
Knowing the investment above, where are you right now?
What, if anything, could get in the way of you saying yes if you’re invited to join?
This might be the investment, time, family responsibilities, uncertainty about the experience, fear about doing the work, needing to speak with someone else, or something entirely different. There’s no “right” answer. I’d rather know what’s real for you.
What would you need to know, feel or get clear on to make a grounded decision about joining?
A little more about you & what matters
Imagine you’ve reached the end of your year in the School and you’re thinking, “That was one of the best decisions I could have made for myself.” What would need to have happened for you to feel that way?
Your voice matters. It helps shape the evolution of your experience.
Is there anything else you'd like me to know about you, your journey, or what you're seeking?
If someone referred you, please include their full name below.
Thank you for taking the time to complete this application.

I hope answering these questions gave you an opportunity to get a little clearer on what you want and what you’re ready for next.

Applying doesn’t commit you to joining.

I’ll personally read your application and, if I believe The School of Self & Relationships could be a strong fit for what you’re seeking, I’ll reach out about next steps.

❤︎ Nedjma
Should be Empty:

The School of Self & Relationships Application

A little about you

What’s bringing you here?

Where are you starting from?

How would you like to experience the School?

There are two ways to experience The School of Self & Relationships:

A little more about you & what matters

Thank you for taking the time to complete this application.