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Executive Coaching Form

Thank you for expressing interest in working 1:1: with Jake. Jake only works with five individuals per quarter. For consideration, please complete the below application.

"Working with Jake challenged me to think about my performance in new ways and provided me the push to implement the tools he introduced to me. He provided a great balance of instruction and self-reflection that allowed me to design a workflow that fits my style.

The greatest benefit was his inspirational accountability that pressed me to follow through on those things I told him I was going to do in a way that made me want to perform as opposed to having to perform. The tools he provided me were cemented into my process and have been easily recallable to implement in my own and my teams' development." - Tom B., CEO

Application Form

What is your name?

What is your email?

What is your organization and role?

What is your phone number?

What's one goal you have for working with a coach or what do you want to achieve?

Why is NOW the right time to partner with a coach?

Are you prepared to show up to live training calls & do the neceessary work to reach your objectives?

The investment to work 1:1 with Jake starts at $4,500 for a 90-day commitment. Is this an investment level you're ready to make in yourself?

The investment to work 1:1 with Jake starts at $4,500 for a 90-day commitment. Is this an investment level you're ready to make in yourself?

"Coaching sessions with Jake have been transformative and instrumental to my current level of success. I signed up for coaching once I made the decision to change careers after 25+ years.

Jake is a compassionate, educated, and insightful leader and mentor. I continue to be impressed by his ability to quickly analyze challenges and provide both solutions and accountability.

Coaches need coaches. Mentors need mentors. Jake has been both a coach and mentor who has helped me discover the accessory work that I needed to complete in order to be my best on the competition floor of my profession.

I plan on having Jake on my coaching staff for a long time. Put him on yours – and you will quickly understand why his services are so highly desired." - Scott F.

Ready to get started? Just click Submit to complete this application.