Apply for Personal Impact Discovery Call
Personal Impact Mastermind: A Transformational Journey Towards Antiracism
8-Week Mastermind 

Congratulations on taking the first step towards joining the personal impact mastermind. The mastermind creates a space for conversations about cultivating change, critical self-reflection, personal transformation, and accountability. The mastermind is designed with the goal of becoming the person you aspire to be by examining the person that you are. The central question is this: Am I willing to hold myself personally accountable and responsible for mastering transformation in my "becoming" space?

There is no obligation or commitment with this application. It simply opens the door to a conversation about your interest in coaching with Anita.

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Email *
First Name *
Last Name *
Tell me your story:
What prompted you to reach out to me at this particular time? Describe your mindset when it comes to personal transformation. Do you desire to change how you nurture, grow, and empower your life? Why or why not?
*
Empower Critical Self-reflection: 
I feel comfortable deconstructing my life to discover my inner thoughts, beliefs, ideas, and assumptions about myself.
*
Empathy: 
I care enough about where I am in my life to intentionally disrupt self-limiting words, actions, and behaviors that define how I walk in the world.  
*
Action and Accountability: 
I am willing to take action and hold myself accountable for the personal transformation I desire in my life.
*
What is your true desire for the outcome of this Discovery Call?
*
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