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Energetic Mentorship Application

Welcome to Illuminate!

One season. Fully Held.

This is the beginning.

This application is simply a space to arrive and share where you are so that when we connect our conversation can begin with depth.

What is your name (first & last)?

Email

Phone Number

Please share three windows of your availability for the application call.

Tell me a little about yourself and where you are right now. This can be as expansive or as simple as feels true.

Your Season

What are you moving toward this season? What feels like it is asking to emerge, shift, or expand in your life right now?

What feels ready to shift in your energy, your home, or your life?

What are you looking to accomplish through energetic mentorship?

Your Path

Have you worked with Human Design or Feng Shui before? If so share as much or as little as you like about your experience.

Human Design Intake: Date of Birth

The following details are necessary to obtain your energetic blueprint:

Date of Birth (month, date, year for ex: 04/13/2023)


Human Design Intake: Time of Birth

Exact Time of Birth (ex: 07:06 AM)

It is critical to have your time of birth correct down to the minute to ensure your energetic recommendation are aligned for you. If you do not have your exact birthtime to the minute, please give your best guess and note a *** next to it.

Human Design Intake: Place of Birth

To integrate wellness in your space for your unique your Human Design, I will the following details to view your energetic blueprint:

Place of Birth (city, state, country for ex: Mobile, Alabama USA)

***If there are multiple people dwelling in your space, please share their Human Design details if you would like their energy blueprints to be considered for recommendations.

The Call

What draws you to Illuminate specifically? What feels alive in you as you read about this container?

Is there anything else you would like Ashley to know before you connect?

Disclaimer and Consent

Illuminate is an energetic mentorship container rooted in BTB Feng Shui and Human Design. It is not therapy, counseling, or licensed psychological or coaching services. Ashley Witek is not a licensed therapist, psychologist, or certified life coach.

The work within Illuminate is energetic and experiential in nature. It is not a substitute for professional mental health support, medical advice, or legal counsel. If you are currently working with a therapist or healthcare provider, this work is intended to complement, not replace, that support.

By submitting this application you acknowledge and agree to the above.

Illuminate is an energetic mentorship container rooted in BTB Feng Shui and Human Design. It is not therapy, counseling, or licensed psychological or coaching services. Ashley Witek is not a licensed therapist, psychologist, or certified life coach.The work within Illuminate is energetic and experiential in nature. It is not a substitute for professional mental health support, medical advice, or legal counsel. If you are currently working with a therapist or healthcare provider, this work is intended to complement, not replace, that support.By submitting this application you acknowledge and agree to the above.