Mentorship Application
I am so excited that you are here! I'd love to get to know you a little bit more to see if my mentorship is in alignment with what you need <3 Please fill out the form below - I will get back to you as soon as I can.
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Human Design: What is your Date of Birth - Exact date, time, and location (Please note if you do not know your exact birth time) *
How did you discover Nina?
Please share:
- Why & How you would like to work with Nina
- Is there a specific tool you are most interested in? (Human Design, Gene Keys, Subconscious work, etc)
- How long you are interested in working together (1, 3, or 6 month mentorship)

*Ok if you don't know yet, we can discuss at a later time
What are the main things you would like to work on together? (Current struggles)
If all of the above problems were solved, what would that look/sound/feel like?
Is there anything else you would like to share with me?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nina Elise. Report Abuse