Purely Alive Mentorship Application
Hi there! I am just giddy that you are interested in participating in my mentorship program! I am Ashlee Miller and if
we have not previously met, I am a mom of 3 that is passionate about helping others be purely alive! I specialize in helping others awaken their own intuition, while clearing old patterns of defeat & sabotage. We all have old false beliefs about our own power or past traumatic/stressful experiences that hold us back from living the life we really want. Those simple little beliefs can be easily released using Purely Alive techniques. Purely Alive energy work is all about letting go of those foreign ideas and helping you embrace your true personal power. I love using simple technique to teach you how to breakthrough the stress and be completely alive. The Purely Alive Mentorship is a 6 month intensive where you not only work on yourself but also discover how to use your intuition to help others.

The Purely Alive Mentorship is held annually and begins February 2, 2017. I can't wait to connect with you and see how this program will change your life.

Upon completing the application, I (or a member of my team) will contact you to either confirm your participation or schedule a free consultation.

If you have questions about the Mentorship, check our FAQ list here: http://ashleemiller.com/2017-purely-alive-mentorship/

You may also contact me at ashlee@ashleemiller.com.

Your Name *
Your answer
Your Email Address *
Your answer
Your Phone Number *
Your answer
Best time/day to reach you? *
My team will set an appointment with you but this information helps us to plan.
Your answer
How did you hear about the Purely Alive Mentorship or Ashlee Miller? *
Your answer
Tell me about you! Your family, profession/business interests, hobbies, and talents. *
Your answer
Why are you interested in participating in this mentorship? What do you hope to gain? *
Your answer
What are you wanting to create in 2017? *
Your answer
What are your biggest obstacles in creating the life you want? *
Your answer
What is your experience with energy work? How do you view energy work? *
Your answer
What are your spiritual views? What do you know about your own spiritual gifts and how would you like to increase those? *
Your answer
What would you like me to know about you?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms