Application for Coaching Program

Thank you for your trust and curiosity. Please take your time to answer the following questions with as much detail as feels right for you.

Once I review your responses, if it feels like we might be a great fit, I’ll invite you to join me for a virtual coffee, tea, or your favorite beverage. This first conversation is a space for us to connect, explore your goals, and determine if we’re aligned to work together. 

This process is about creating a partnership rooted in clarity, intention, and mutual resonance. Let’s take this step together toward something meaningful!

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Email *
Name *
Contact E-mail *
Location (City, State/Province, Country):
*
Profession:
*
Age:
*
What is your primary reason for seeking coaching at this time?
What is the biggest challenge or block you’re currently facing in your personal or professional life?
If you could envision your ideal self a year from now, what would that look and feel like?
How do you currently nurture your spiritual or personal growth?
What role does community, relationships, or societal impact play in your personal growth journey?
What excites you about participating this coaching program?
This program involves deep self-inquiry and accountability. Are you ready to commit to the time, energy, and emotional work required? Please elaborate.
Have you ever worked with (or are you currently working with) a coach, therapist, mentor or other type of 1-1 work, or participated in personal development programs before? If so, what did you work on and what was your experience?
By submitting this application, I acknowledge that I am ready to invest in myself, approach this work with honesty and an open heart, and commit to the transformational journey this program offers. (Type your name to confirm.)
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