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Mentorship application form

Let's start with your personal details

Gender

Age group

Country of current residence

How did you find out about the program?

Have you used any of my services before? If yes, please specify.

Which program are you interested in?

Have you ever worked with a mentor, therapist, spiritual or life coach? And if yes, please briefly describe your experience.

What issue, goal, situation would you like to address, transform, improve, find solution to with the help of the program?

How would you describe your expectations from the program you are applying for?

Are you willing to take responsibility, do the provided homework, devote your time and invest effort into your growth, healing and evolution?

A
B
C
D
E
F

Please feel free to provide more context to your answer above.

What's your availability for online audio/video sessions in EST/EDT [Toronto/New York] time zone (1h duration)?

Morning (8-11)Tha
Day time (12-16)
Evening (17-20)
SUN
SAT
THU
TUE
MON
FRI
WED

Please provide any other information that you think would be relevant for our best cooperation?