Aligned Business Mentorship Application
***Hi queen. Please read before you apply.***

Hellllo, I'm Sam -- you're applying for me to mentor you.

Filling out this application will put you into our waitlist for the ALIGNED BUSINESS MENTORSHIP: a 6-month long mentorship for online coaches and creatives to grow their businesses, step into their power and make a big impact. You will receive access to masterclasses, workshops and an invitation to exclusive retreats (more details to come).

We hold massive space for you to elevate and expand into the soul you need to become in order to have the business of your dreams from the inside out!!


However, ABM isn’t for everyone. By filling this application out, it will help us determine if you’d be a good fit to join us.

**If you are approved, you’ll receive an email confirmation and a link to schedule an interview call with me! **

Excited to chat with you 💕
Sign in to Google to save your progress. Learn more
Name (first & last) *
Email *
Instagram Handle *
Phone *
Mailing Address *
What's your age? *
Where do you live / time zone? *
Your astrology (List sun sign, moon sign, rising sign if known) *
Human Design type (if known) *
Enneagram Number (if known) *
Do you have ADHD? If so, how does it affect you or prevent you from your goals? *
Tell us about your business + what you love about it, or the business that you have in mind if you haven't launched yet. *
Why are you here on this application? Specifically: what do you find to be your main struggles with getting your business to the place you want it to be? *
What do you want to create for yourself in the next 6 months? *
On a Scale of 1-5, how important is it to you to achieve your goals and overcome your current road blocks? *
(least important)
(totally determined)
Why did you choose that number? *
How did you find out about Sam? Where/what piece of content specifically resonated? *
What is your current average monthly revenue + where does it come from? *
How much would you like to be making in your business monthly this year? *
Are you interested in having more than one offer? If so, please let us know what! (Ex: workshop, retreat, online course, group program, etc) *
Aside from your financial goals: What is it that you REALLY want from your business, from a business coach, and from yourself? *
Currently how willing and able are you to invest into your self-growth and mindset to create your dream life and business? *
Anything else you feel called to share with me before our call?
Before your application can be considered, please agree to the following terms: I (applicant named above) agrees to be 100% open and coachable during our call. I agree to be fully present on the call, to listen intently, and be willing to put down a deposit on the phone to step into my potential.
Clear selection
Clear form
Never submit passwords through Google Forms.
This form was created inside of Balance With Sam. Report Abuse