APPLICATION FORM 

HER Empire infuses 1:1 coaching with a group mastermind to give you a container like no other.  Over 6 months, you will work closely with Jess as you take your life and business to new heights. If you wish to apply, fill out this application form and I will be in contact to see if this is a good fit for you, your business and your commitment.

** Please only serious applicants only.

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Full name:  *
Contact number:  *
Email address:  *
Instagram handle:  *
Do you have a business? 

Please note this mastermind is for women in business. If you do not have a business but want my support, continue with your application and I will send you other options to work with me. 
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Please provide further information about your business, including how long you have been operating.  *
How much is your business currently making in revenue?  *
Why do you feel called to work with Jess? *
What are your top 3 goals for your business / life?  *
What do you hope to achieve in 2024? *
Which areas are you needing support with?  *
Required
How do you wish to pay for your investment?

NOTE: If you are a previous 1:1 client or previous student of The Academy, you will receive a $1,000 discount. 
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