Page 1 of 1

Cohort Application

This is not about having the “right” answers.

It’s about being willing to look honestly at where you are—and what you want to change.

Take your time. Answer truthfully.

Full Name

Email

Age

Phone Number

Current Reality

Understanding where you are right now

Where are you in your life right now?

Do you feel like you’ve been repeating patterns in your life? If so, what do they look like?

What is making you consider something like this now?

What do you feel ready to change, even if you don’t know how yet?

If you don’t make a change now, what do you think your life will look like in a year?

Who do you currently have for support in your life?

Is there anything important about your situation or background you’d want me to know?

Moving Forward

Exploring your readiness and next steps

Will a parent or guardian be supporting you financially in this experience?

Will a parent or guardian be supporting you financially in this experience?
A
B
C

Have you talked with them about something like this?

Are you willing to be honest with yourself and make different choices, even when it’s uncomfortable?

Are you willing to be honest with yourself and make different choices, even when it’s uncomfortable?
A
B
C

If accepted, what would make this experience meaningful for you?

On a scale of 1–10, how ready are you to do something different in your life?

Why did you choose that number?

This is a small, intentional group.
Not everyone who applies will be accepted.

If it feels aligned, we’ll reach out with next steps.