One-On-One Coaching Application
Please fill out this application if you're interested in becoming a one-on-one coaching client. I will reach out to you via email within 3 business days to schedule a free discovery call or to ask clarifying questions if needed.
Email address *
Today's Date *
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Full Name and Pronouns *
Date of Birth *
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Cell Phone Number *
Mailing Address *
Tell me anything about you that you'd like me to know. This could include details about your employment, schooling, social circle (especially furry friends), hobbies, passions, etc. *
What do you think your best qualities and abilities are? Where do you really shine? *
What are your goals for one-on-one coaching? What do you hope to accomplish or set in motion over the next six months if we work together? *
Why is increasing your sense of self-trust important to you and what do you think has held you back from developing a deeper sense of self-trust? *
In what parts of your life do you find yourself experiencing the most self-doubt and shame? *
Where would you say you are in your personal social justice and anti-oppression journey? Have you done much unpacking around power and privilege? Are there certain teachers you look to in this area? *
Why are you interested in working with me and do you have any expectations for me as your coach that you'd like me to be aware of? *
One-on-one coaching is $850/month for a six-month commitment. Is this an amount that you can fit into your budget and are willing to invest? *
If you have experienced trauma in the past and certain things I could do or say as a coach might be triggering for you as a result, you're welcome to use this space to give me some guidance and suggest any boundaries you'd like me to respect (trauma-related or otherwise).
How did you find out about my coaching? *
Would you like to be added to my email newsletter list? *
Anything else you'd like to share with me?
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