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Positioned with Purpose:                                              A Mentorship for Becoming 

Application Form

A mentorship space for women of faith seeking to walk boldly in their God-given identity.

Name *
First and last name
Email *
Phone number *
Are you currently in therapy or navigating an active mental health crisis?
 *

Have you participated in any mentorship or coaching before? If yes, please briefly describe.

 *
How would you describe your current relationship with God?   *
What does living in your God-given identity mean to you right now?
 *

In 2-4 sentences, describe the woman you believe God is calling you to become.

 *
In what area(s) of your life do you most want to experience growth or clarity in?   *

What motivated you to apply for this focused 30-day mentorship program at this stage in your life?

 *

How comfortable are you with discussing personal beliefs, purpose, and life goals in a small group or one-on-one setting?

 *
Are there any current habits, thoughts, or environments you believe are blocking you from walking in your full identity?
 *
What do you hope to gain from this mentorship experience?
 *
Required
Readiness & Commitment
This mentorship is not therapy or life coaching. Are you open and ready to receive non-clinical, faith-based support?  
Clear selection

Are you open to completing brief reflections or exercises between sessions to deepen your progress?

 *

This program requires attending 4 weekly sessions of 30-45 minutes each. Are you able to commit to attending all sessions?

 *

Do you have any concerns or barriers that might affect your ability to participate fully?

 *
Final Reflection

What do you hope to achieve or become by the end of this 30-day mentorship?

Is there anything else you would like us to know to support your success in this mentorship program?

 *
Disclosures
Janine’s schedule is extremely busy. If you are accepted into the mentorship program, you must attend all scheduled sessions and engage fully in the heart work. If you miss sessions or are not actively participating, you will be discharged from the program to ensure the integrity and effectiveness of the mentorship/mentee experience.   *
Present and former clients of Just Janine Therapy or Purpose Pusher Consulting are not eligible to apply for this mentorship program.   *
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