You are applying for 1:1 Private Mentorship with Sam Altieri
This is my most intimate container, where you and I do life, business and relationships together. Please visit my website ( for more details to see if this container is right for you.

*Please note that 1:1 Coaching with Sam is for spiritual entrepreneurs and/or high achieving women in leadership roles craving deeper embodiment, expansion and a mentor to reflect your own power back to you*

Please fill out this application to your fullest capacity and you will receive a response from me via DM to see if we would be a good fit.
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Name (first & last) *
Email Address *
Best Mailing Address *
Instagram handle? *
Tell me about YOU, without titles/your business/career identity. I'd also love to hear your astrology, enneagram and human design type (if known)
Tell me about your business / career as well as your relationship to it
What is the legacy you are creating? Why does it matter to you?
Tell me about your life outside of work / business...
What would be a perfect day in the life for you?
Tell me about your relationships (with self, intimate + friendship)...
How much money are you currently making? How much do you wanna be making? Why?
Where do you currently play small, doubt yourself and get in your own way? *
If I waved a magic wand and you got everything you ever wanted from our time together, what would be different in your life, business and relationships? *
Top 3 things you want to work on together? *
How important is it that you breakthrough to your next level now? 1-10? Why? *
How did you find Sam? What was it about Sam that drew you to her as your next mentor?  *
What previous mentorship/coaching/therapy have you previously enrolled in? *
Please choose the package you’re applying for:  *
Anything else you feel called to share with me or I should know about you?
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