Unlocked Hearts Academy Interest Form
The first 12-week live Academy class is planned to begin October 11, 2026. Weekly live sessions will run alongside required course modules completed throughout the program.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Mobile Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
City
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State
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Current Occupation or Business
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Which area are you most interested in?
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Matchmaking
Dating/Relationship Coaching
Both
Do you currently own a business?
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Yes
No
Do you have prior experience in coaching, matchmaking, counseling, the dating industry, or client-service roles?
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Yes
No
If yes, please provide brief details about your relevant experience (optional)
Why are you interested in becoming a matchmaker or relationship coach?
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What is your #1 question about entering the matchmaking or relationship coaching industry?
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What would you most like to learn from Juanita/Unlocked Hearts?
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Which live session time do you prefer?
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Sundays around 5:00 PM Central
Mondays at 6:00 PM Central
Either works for me
Which program format are you most interested in?
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Live 12-week certification
Self-paced option when available
Both
How soon would you want to start?
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ASAP
Within 3 months
Within 6 months
Just exploring
What investment range would you realistically consider for a comprehensive 12-week professional certification (including training, tools, business-building support, and certification)?
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Under $750
$750–$999
$1,000–$1,499
$1,500–$1,999
$2,000+
Not sure yet
Would a payment plan make enrollment more accessible for you?
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Yes
No
Not sure
Would you like to be notified as soon as enrollment opens?
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Yes, please notify me
No, thank you
Is there anything else you’d like Juanita to know? (optional)
Submit Interest
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