Request edit access
Apply to Work with Me
I'm looking forward to learning about you and your business. Please fill out the following application with as much detail as possible.

*You can expect to hear back from me within 24-48 hours via direct message on Instagram.
Sign in to Google to save your progress. Learn more
Email *
What is your full name ? *
What is your email address ? *
Please link your instagram. *
Where did you find me?  *
Please describe business, your offer(s), & price points.
Please describe your sales and marketing situation. How often and how consistently are you getting leads reaching out, and/or clients enrolled? Where are your leads coming from? If you could change anything about this what would that be? *
What's your Current Revenue: *
In terms of your marketing and business growth, where do you want to improve and where do you need the most help right now? *
What have you tried to address the above challenge in the past, if anything? Have you invested in any coaches/programs to get help with this, specifically? If yes, what was your experience with those investments?
What inspired you to reach out ? What specifically stood out to you (concepts, strategies, results, etc.) that made you feel that I might possibly be able to help with this? *
Do you have an offer that you were specifically interested in? *
Working with me is an investment of $999/month up to $7k/month. Are you ready to invest your finances, time & energy in yourself and your business to get yourself to the next level? *
I'm looking forward to talking with you! Are you committed 100% to showing up and having a conversation in the DMS or on a call to decide what is best for you and the growth of your business? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Claire Sellers.

Does this form look suspicious? Report