The Purposeful Provider Founding Member Application - MAKE SURE TO CLICK THE LINK AFTER SUBMITTING TO BOOK YOUR CALL WITH ME.
As a founding member you will be helping me create the way for all the future men of this program. You will also have lifetime access.

Please take a moment to complete this form so I can get a deep understanding of your current situation and what type of support you are craving in your life.

After you complete this form, you will lead to book a call with me. This will be a 45-minute Strategy call where I will help you identify blind spots in your life and to see where we might be able to start getting results ASAP.

If I feel like I can further support you I will explain ways we can work together.

Only 5-10 members are accepted into this program because I value personalization and it is important to me to create a safe container. It is my intention to serve your highest level on the call, and by the end of our time together it will be obvious what your next step is in order to achieve expansion.
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Email *
Full Name *
What are 1-3 main obstacles you are experiencing in your life right now? *
What have you tried to overcome these obstacles? Why do you think you didn't get the results you were wanting? *
What's one thing you really want to make a reality in the next 6 months? Why is that important to you? *
When making an investment, what do you like to know, see, or hear to confirm it is a good decision for you?  *
To be transparent this is a time, energy and money investment. Are you ready to have this conversation? *
What is important to you in a mentor? *
As you know, spots are limited for high calibre coaching. If chosen to be in this mastermind, what energy do you have to offer the container? What makes you a good fit for this program? *
What does your support system at home look like. Who is in your corner wanting to see you succeed? *
Is there anything else you want to share? *
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