1:1 Empowerment Mentorship Application Form

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Hello! Thank you for considering me as your mentor on your empowerment journey. Please take a moment to complete this form, which marks the first step in the application process. Please keep in mind that spaces are limited, as I prioritize serving others with my utmost dedication.

Email *

Full Name: *

Where are you located? *

Why are you interested in working with me in particular? *

Define what empowerment looks and feels like to you: *

Are you able to commit to 2 + hours per month of virtual calls/emails/inner work, etc. (depending which package you choose)? *

Yes

Have you worked with a mentor before? If yes, what worked and/or didn't work for you?

In one year from now, what positive change(s) would you like to see in yourself and in your life? *

I understand that the 1:1 mentorship packages range from $525-1775 CAD, and that Robyn Liechti is a certified life coach not a therapist or psychologist. *

Yes, I understand.

Which coaching package are you interested in at this time?

Note: Upon completion of a mentorship program, 1 hr. single sessions are available at $115 CAD, which include an email highlighting session notes, support, recommendations, action steps, worksheets, etc.

8 Week Mentorship $525

20 Week Mentorship $1775

When would you like to begin the mentorship? *

ASAP

Within a few weeks

1-3 Months

Other:

DISCLAIMER:

What I offer through my mentorship and digital courses is compassion, encouragement, and support through reconnecting you with your heart, dismantling limiting beliefs, and growing emotionally. The advice, tools, and practices I share are based on my own personal experiences and what have worked for me to create a life I love and thrive in.

While I am passionate about serving and helping others, I am not a substitute for your own inner work, growth, and healing. We must each do the inner work, I am simply a support system to guide you into remembering who you truly are. Please note: Mentorship is not a substitute for therapy, and I cannot diagnose any mental health disorders.

What I have learned from my own personal growth journey is that as you peel back the layers, and discover what's holding you back, you may come face to face with memories or triggers from your past; some of which can be painful. If these become difficult to navigate on your own or with our mentorship, I encourage you to speak with a professional (therapist, doctor, psychologist, grief counsellor, etc.) While we could continue to work together, you may benefit from seeking the additional support.

Upon purchasing any of my mentorship packages, digital courses, or accessing any "freebies", you and I, together, agree that these tools and teachings are not to be considered a replacement for seeking professional help, advice, or treatment.

Any testimonials or statements shared from past or current clients are based on their personal progress and dedication. Each individual will experience their own growth, as we are all on different paths. Therefore, the results and experiences will vary for each individual.

We are all responsible for our lives and personal growth. We are all responsible for our own progress, who we want to be, and how we show up in the world. My promise to you is to always show up with love, compassion, and understanding. As well as to put forth my best effort during our time together. I ask that you put forth your best effort and have an open heart during your own path to empowerment and growth.

I, and everything offered herein, are only one set of tools to help you unlock your personal potential.

All the best,

Robyn

I understand and agree to the above disclaimer.

Send me a copy of my responses.

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