Recover Me Mentorship Application Form

Thank you for your interest in Recover Me.

This mentorship is an intimate container for women ready to reconnect to themselves through embodiment, shadow work, emotional healing, self-expression, and reclamation.

Please answer the following questions honestly and openly. There are no “right” answers.

This application helps ensure the container is aligned and supportive for where you currently are in your journey.

Email *
Full Name *
Phone *

Your Journey

What is currently calling you toward this work and mentorship at this point in your life?

 *

What areas of your life currently feel the most disconnected, painful, unfulfilled, or out of alignment?

 *

What are you hoping to reclaim, heal, rediscover, or reconnect to through this experience?

 *

Have you experienced patterns of self-abandonment, people pleasing, disconnection from self, addiction, shame, emotional suppression, or difficulty expressing your needs or truth?

 *

What would it look and feel like to fully come home to yourself?

 *
🜁 Embodiment & Self Awareness
How connected do you currently feel to your body, emotions, and inner voice?
 *
Are you currently engaging in any personal healing, therapeutic, spiritual, or self-development practices?

If so, what has been supportive for you?

 *
What fears, resistance, or challenges do you feel may arise as you move deeper into this work?
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What does “recovery” mean to you personally?
 *
🜃 Commitment & Readiness

Why do you feel now is the time to invest in yourself and this journey?

Recover Me is a deeply reflective and emotionally honest container. Are you willing to take responsibility for your healing, growth, and self-awareness throughout this process?
 *
Are you able to commit time and space for reflection, embodiment practices, and integration throughout the mentorship?
 *
Is there anything else you feel is important for me to know about you, your story, or your intentions entering this work?
 *

Thank you for sharing your heart and your story.

Applications are reviewed carefully to ensure alignment and integrity within this mentorship space.

You will receive a follow-up email in the next 48 hours regarding next steps if this container feels aligned for where you currently are in your journey.

A copy of your responses will be emailed to the address you provided.
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