Trust Your Ancient Wisdom 1:1 Mentorship Application
Hi sweet soul!

Honoring you for taking the time to sit with and fill out this application. My ask is that you please only fill out this application if you're truly committed to this process & are ready to experience transformation.

Please answer the questions below with as much detail as you feel comfortable in sharing at this time. The more thorough you are, the better sense I will receive if working together will support us both. 

Once you've submitted your application, I’ll reach out within a few days with any next steps.

May our ancestors show us the path forward from here. 🕊🌿

With love,
Email *
What is your first & last name? *
What are your pronouns? *
What is your preferred email? (if different than the one above that you signed in with)
Do you identify as a BIPOC/BIWOC/mixed race woman or femme ? *
Are you on Instagram? I'd love your Instagram handle!
Where are you located? *
What are you desiring most for your life in this present moment? *
What are the top 3 biggest or most present challenges/difficulties you are experiencing that are making it challenging to live out what you most desire? *
What would you most want to receive out of working together in this 1:1 capacity? What would you like your life to look like after our 4 months working together? *
What have you done, now or in the past, to work towards your desires, goals and/or dreams? Feel free to reflect on what has worked and what hasn't, if it feels right. *
Why do you feel now is the time to receive 1:1 mentorship support? What brings you to apply? *
Do you consider you presently have a support system? If so, who or what are they and how do they support you? e.g. a therapist, friends, family, community. *
Are you currently experiencing any known or diagnosed mental health conditions (such as anxiety, depression, BPAD) and/or are currently taking any mood altering medications (such as antidepressants)? If so, please provide details. * *
Do you currently experience chronic pain? *
Have you experienced suicidality in the last 5 years? *
The investment for Trust Your Ancient Wisdom is $2,000 paid in full or $515/month. There are extended payment plans available for 6 or 8 months as well. How would you like to pay for this investment? *
When would you like to start or kick off the 4-month container? *
If you were referred by anyone, please tell me who below.
Do you have any questions for me about Trust Your Ancient Wisdom 1:1 Mentorship Program?
Anything else that's on your heart that you'd like to share that will help me to understand where you are right now and where you want to be? Or feel free to share anything at all that wants to be witnessed...<3
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