Private Retreat Application

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Hello, love! I am excited that we've found each other, and for your interest in working together.

Please fill out the below application to the best of your ability.

I'm excited to read all of your heartfelt responses!

xo,
Emily

Email *

First + Last Name *

Website (or IG URL if you don't yet have a website) *

What interests you most about working with Emily? *

Stepping into my greatness

Clarifying + confidently sharing my message

Starting/Growing my business using a more feminine approach

Deepening in my effectiveness, impact, + service as a leader

Re-wiring my brain for success (working through limiting beliefs + moving past blocks)

Learning more about my innate feminine wisdom + nature so that I can live accordingly and find more ease, flow, freedom, + fulfillment

Other:

Required

Which of the following best describes you? *

Ready + Willing Leader - excited and open to sharing my voice and willing to do whatever it takes to bring my dreams to life

Fresh-woman - just beginning to share my voice and not really sure where to start

Procrastinator - always looking for opportunities, investing in new programs/trainings/certifications, but find myself held back and feeling overwhelmed, not ready, or blocked from taking action in some way

Which of the following most closely describes your biggest challenge in stepping into feminine leadership in your business and beyond? *

too many ideas

lack of follow-through

self-doubt + limiting beliefs

unclear on "how" to do it

attached to the masculine way of leading, doing, + pushing through to get things done

Required

What are your top 3-5 goals for the next 6-12 months in your business? *

What is your commitment to achieving these goals? *

not committed

fully committed

Where do you feel you need the most support right now? *

What is the best phone number to reach you? *

Are you ready to invest in yourself & your business today? *

Have you ever invested in coaching before? *

Yes

Other:

If selected for a VIP Intensive with Emily, for which month would you prefer to schedule? *

April 2022

May 2022

June 2022

July 2022

August 2022

September 2022

I'm flexible!

Other:

Anything else you'd like me to know or feel called to share? *

Thank you for applying to work together, love. I can't wait to learn more about you and your business. If I feel I can support you, my team will be in touch with a link to my calendar to schedule a consultation call so we can further explore, solidify dates for our private retreat, get you set up with onboarding documents, and process payment.

A copy of your responses will be emailed to the address you provided.

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