Ceremony of Self: Mentorship Application
Thank you for your interest in applying to be considered for Ceremony of Self: A 9-Month Mentorship for Personal and Professional Transformation. Please give yourself at least 30-40 minutes to respond to the following reflection questions from an authentic place. Your responses will help me determine our resonance for working together. All information will be held in strict confidence between us.
Email *
Name *
Phone number *
Email *
What brings you joy in your current profession or personal life?
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Where are you currently struggling, either personally or professionally?
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Describe what you envision experiencing in your personal and professional life in the next 5 years.
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Please share a bit about your personal relationship to spirituality and what that means to you. *
Have you worked with psychedelic medicine, cannabis, or ketamine before? If yes, please provide a brief description of your experience. Please also note whether you are currently taking or have a history of taking any psychotropic medication or serotonergic supplements (like 5-HTP, St. John's Wort, Kana, SAM-e)
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Please share a bit about your cultural background and how it influences your perspective.
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Have you engaged in personal growth work, such as therapy or coaching? If so, with whom and for how long?
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What aspects of your personal growth journey have been most impactful for you?
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What do you most want to get out of a personalized mentorship program?
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