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[PUBLIC] Coaching Application

Hey, thanks for checking out how we can work together to help you navigate the inner game of entrepreneurship to transform your business, your life, and yourself!
This application is for PUBLIC coaching, meaning our session will be recorded and may be uploaded to YouTube and elsewhere.

Public Coaching Session Media Release & Consent Agreement

By scheduling and/or participating in a public coaching session with me Corey Wilks, Psy.D. ("Coach"), you ("Participant") agree to the following:

Grant of Rights. Participant irrevocably grants Coach the right to record, reproduce, distribute, publish, and display Participant's name, likeness, voice, image, and any statements made during the session (collectively, "Content") in any media now known or hereafter devised, including but not limited to YouTube, social media platforms, podcasts, websites, and promotional materials, worldwide and in perpetuity, without compensation.

Editing. Participant acknowledges that the Content may be edited, excerpted, or combined with other material at Coach's sole discretion.

No Expectation of Privacy. Participant understands that the session is public in nature and waives any right of privacy or publicity with respect to the Content.

Warranty. Participant represents that they are at least 18 years of age and have full authority to enter into this agreement.

Acknowledgment. By scheduling a session, Participant confirms they have read, understood, and agreed to these terms.

If you'd prefer to work privately, fill out this application instead.
Public coaching is for a single 60-minute session where we dive into a single goal, obstacle, or other topic you want to discuss related to your business.
Common Topics for Coaching: Navigating limiting beliefs (like fear of success), identifying psychological blindspots and removing bottlenecks to free up your time and scale your revenue, achieving alignment in your business and life, embracing your authenticity and giving yourself permission to trust yourself and your judgement, overcoming Imposter Syndrome, developing the confidence and conviction to pivot or scale your business to have the impact you know you're capable of having, mental obstacles like Imposter Syndrome holding you back from building a personal brand, etc.

Basic Info

What is your name?

What is your email?

Please describe your business or the work you do.

If you're an entrepreneur, what’s your business’s annual revenue in USD?

If you're an entrepreneur, what’s your business’s annual revenue in USD?
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If you're an employee (or pay yourself), what’s your annual income in USD?

If you're an employee (or pay yourself), what’s your annual income in USD?
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Please share a link to your website or social media handles if applicable.

In what city/country are you located (availability for public coaching is based on CST time zone)?

What You're Looking for Out of Coaching

Why are you seeking coaching?

Why do you want to work with me, specifically?

What does your ideal future look like?

What are the main obstacles preventing you from achieving your ideal future?

What have you already tried to overcome these obstacles?

Is there anything else you'd like to share?