COACHING APPLICATION
Please read before you apply:

Filling out this application puts you into the waitlist for the Balanced + Badass Group Coaching Program, the last weight loss attempt you'll ever make. This program is designed to help you lose weight, build confidence and start showing up in the rest of your life as the most empowered and unstoppable version of yourself.

This program is for women who are ready + serious about investing into their health, happiness and future self.

Upon completion of this application, we will review your information further to determine if group coaching is the right fit for you.

** If you are approved, you'll receive an email confirmation and a link to schedule an interview phone call. **

We are looking forward to getting to know you!

xx Balance with Sam team
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Full Name *
Email address *
Age? *
Phone Number *
Instagram Handle *
How did you find out about the program? *
Tell me about your current relationship with food and your body. *
What is your biggest goal right now and why? *
What is holding you back from achieving that goal? *
How long have you had your goal? *
Fast forward a year. What would success feel like? What would success look like? *
Why do you want to be a part of this coaching program? And why should we choose you over the other applicants? *
Have you ever been part of a coaching program before? If so, tell us about your experience. *
How ready are you to invest in yourself? *
If it's not a HELL YES, it's a hell no. If we get on a call and it's a HELL YES to work together, are you willing to find ways to get creative financially to make this investment in yourself to hire a coach? *
Before your application can be considered, please agree to the following terms: I (applicant named above) agrees to be 100% open and coachable during our call. I agree to be fully present on the call, to listen intently, and be willing to take action! I also am prepared to SHOW UP FULLY, without distraction, for me to get the attention I deserve. *
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