A Year of Love Application
This is the Pre-application call form for the Year of Love Masterclass.
 
Please complete and submit the following questions to the best of your abilities.

Upon completing this form, please book in for the application call with the link below. Application calls will ONLY be honored when the application form is submitted in its completion. Application calls apply ONLY for those applicants whom are able to financially invest into the program responsibly. Meaning if the program is outside of what you can budget we don't do an application call, however I will keep your application on file in case a future class is in your budget, and you will receive updates for other offerings/self-study programs/web classes or masterminds that may be a more harmonious financial fit.

Following the application interview if it is a soulful YES! for both sides you will be invited to register for one of the limited available spots.

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Email *
First Name *
Last Name *
Best Contact Email *
Best Contact Number (include area/country code) *you'll be emailed a call link for the application call. *
1. In a few sentences please outline your current relationship status/situation. *
2. What are some of your current challenges when it comes to dating and relationships? *
3. What is your family history? Include your past and current relationship to all primary caregivers, siblings and early childhood experiences (aka any influences you sense might be tripping you up in your current dating or relationship life). *
4. What do you sense blocks you from fulfilling and deep emotional connection with the men in your life (partner, friends, family members, work colleagues- not necessarily romantic connections but men in general)? *
5. What do you feel blocks you from fulfilling and deep emotional connections with the women in your life? (partner, friends, family members, work colleagues- not necessarily romantic connections but women in general)? *
6. How comfortable are you receiving support, recognition and love from a romantic partner? (1- not comfortable at all I do everything myself - 10- I'm very comfortable receiving the positive contributions) *
Not comfortable at all- I do everything myself and can't rely on others.
I'm very comfortable receiving positive contributions and relying on my core connections. The support feels good, safe and nourishing.
7. When you get triggered in relationships, what fears/emotions come up for you most? (click all that apply) *
Required
8. Have you experienced emotional physical or sexual abuse/trauma in your past relationships (family included) or currently in a relationship? *
9. Mental health history. Have you had an official mental health diagnosis or personal experience of any of the following? (Including but not limited to anxiety, depression, mood disorders, eating disorders, addictions, personality disorder, OCD, PTSD, psychotic disorders etc) If so, please specify below and include current treatments.
10. What is your current personal spiritual practice?
11. How much time do you invest in yourself (self-care, exercise, learning and development work) on a daily basis, weekly basis and monthly basis? *
12. Have you ever done a longer-term personal development program? If so, which one and what was your experience with it like? *
13. What is drawing you to work with me? How do you see that I can support you? *
14. This program requires a full hearted commitment to doing the work (completing the modules + assignments, + attending the weekly coaching calls). Are you willing to create the time in your schedule to complete the weekly work? (75 minutes for the calls, about 60 minutes for the modules and assignments). *
15. Although the nature of this program is primarily focused on the intricate nature of human relationships (relationship to self, habits for high quality love + life, understanding men, feminine essence, partnership building blocks) we also deeply dive into purpose, passions, spirituality, and living in alignment with heart centered direction. Of these which areas are you most excited to develop and explore? *
16. Are you financially willing to create or allocate in your budget the investment into you and your personal and relationship development, to enable yourself to step into greater fulfillment, expression of purpose and a life and love that truly lights you up? Please specify your registration preference, all prices are in USD: *
16. How did you hear about the program? *
17. If the program is within your budget, please book your interview by following this link: http://bit.ly/2HThvz4 (booking times are in PST please calculate your time accordingly). **Make sure to include your booked call time and submit this form before clicking off.** *
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