Lost and Found Private Mentorship: Application Form

Working 1:1 in a mentorship capacity is a deeply personal relationship. You will receive my focused attention and guidance in all areas of your life. I only take a select number of private clients and I want to ensure this is a good fit for both of us. 


Please review the Exchange Summary and answer the questions below.


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Exchange Summary

Investment: $5850 (or 2 payments of $2925)

  • 10 private sessions [45 mins each] over 3 months 

  • Daily voice note access for 90 days [checked once every 24 hours, Mon. - Fri.]

  • All sessions must be used within 90 days of purchase date

Your full name *
Your email address *
Your phone number *
What is your IG handle and/or website address?
 *
How long have you been studying Human Design? *
Where are you experiencing resistance in your life? *
Where are you experiencing growth in your life? *
Why do you feel called to work with me? *
Are you comfortable with the terms listed in the Exchange Summary above? *
Required
Are you ready to invest in yourself and commit to this process if approved to work with me?
 *
Required
Please provide us with the following information so that we can access your Human Design chart. It will be used for nothing else.
What time were you born? AM or PM?
 *
Time
:
Date of Birth?
*
MM
/
DD
/
YYYY
Place of Birth? City and Country
 *
Do I have full permission to access your Human Design chart?
*
Required

Thank you for your application. Once reviewed, I will reach out to you with next steps. 


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