Apply for 1:1 Coaching with Melissa: Intensive

Thank you for your interest in working together. 

Before we move forward, please fill out this form with as much relevant information and specificity as possible so we can ensure our compatibility and best support your results.

Confidentiality: Our company prioritizes client confidentiality, and we are committed to ensuring and maintaining yours. All applications are sent directly to Melissa who will then review the information and respond to the email address you provide. No other team members will access your application.

Coaching summary: This intensive coaching program gives you the opportunity to collaborate with Melissa on an almost daily basis. You will get:
  • Weekly 1:1 video or audio calls (your preference) with Melissa
  • Monday to Friday chat support with Melissa (more details below)
  • Downloadable recording of each session
  • Recap email within 48 hours after each call
  • Access to our exclusive coaching portal
Pricing:
  • 8-week program — $7,995 (or 2 payments of $4,295)
  • 12-week program — $11,995 (or 2 payments of $6,295)

Additional information:
  • Scheduling: Coaching is not available in July, August, or during the last two weeks of December. We'll work with you to schedule your program accordingly.
  • Payment plans: Payment is made in-full at the beginning of your program (prior to session one). If on a payment plan, you'll pay 50% before session one and the remaining 50% at the half-way point. Prices are in USD and tax is included. There are no additional costs and no refunds.
  • Chat: Melissa is available to answer your questions between sessions, support your progress, and share successes. This service is offered via Voxer (free), which you can use via web or app and which supports both text and voice messaging. Phone numbers are kept anonymous. Melissa checks messages twice per day and responds within 24 hours, excluding holidays.

If you have any questions or specific requests, please include them below. Once Melissa reviews your application, she will send you an email to answer any questions, provide further details, and, if moving forward, attach a coaching contract.

Thank you again for your interest and for completing this application. We respect your time, energy, and privacy, and Melissa will send her response to you shortly.
 
Sign in to Google to save your progress. Learn more
Email *
Full name: *
Location: country and city or time zone: *
How did you learn about our services? *
Describe your business/occupation and current role(s): *
If applicable, please include your website and active social media handles:
Which program duration are you interested in? *
What are the main issues or obstacles that have led you to seek out coaching?  *
What result(s) do you need to see in order for this to be a worthwhile investment for you? *
How committed are you to getting the result(s) you want? *
Still not sure
Fully committed
What specific expectations or preferences do you have around working with a coach? (Imagine your ideal coach and coaching program. What kind of approach does your coach take? What are the areas of focus? What is the program duration, frequency of contact, etc.?) *
If you've worked with a coach before, what were the areas of focus and what was your experience? (If not, please write "N/A") *
What questions do you have about this coaching program? *
Is there anything else you'd like Melissa to know? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy