MENTORING APPLICATION Name* First Last Your business name* Phone number:* Mailing Address:* Your Email Address:* Business website URL: https://* Social Media LinksPlease tell me about your business. How long have you been in business? Whom do you serve, and how?*How do you feel about your business?*What is working well in your business?*What challenges do you face in your business?*What threshold are you ready to cross, in your business?*How do you experience this growing edge?*What brings you to me at this time? What would you like to accomplish by working with me?*Is there anything else you’d like me to know about you?*Finally, how did you connect with me? If you have taken a class or program with me, or worked with me privately in the past, please let me know that too.*Check the box below that applies to you.* I am applying for a single strategy session. I am applying for three strategy sessions, to be completed in three months. I am applying for a three-month mentoring immersion. When would you like to begin your program?* Now or as soon as an opening becomes available Within the next three months Please save a copy of your responses for your own records before submitting the form online.