Cameron Rosin 1:1 Application Form

This application is designed to help me understand your needs and goals and to determine if this relationship is the right fit for both of us.

Before submitting this application, please ask yourself if you are ready to commit to 3-6 months of going deep and taking aligned, purposeful action together. Packages are tailored to each client's needs and goals. The investment for these services will be between $3,000USD and $12,000USD.  

Please note: if now is not the time, you can meet with me weekly in the 3RD PATH for $20/month.  Develop practical tools from fellow visionaries and thought leaders. Connect with conscious community members. Access over 95+ hours of exclusive content.

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Email *
Full Name *
Where do you live right now? Please include timezone. *
Professional Background 
Current Occupation: Years in Current Role/Industry: Brief Description of Professional Experience:
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What is your major desire in life? 
Don't think too hard here, and don't be humble. Full permission to explore your limitless Self.
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Describe a time when you felt fully present and engaged in flow. 
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What does meaningful success feel like for you?
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Can you identify areas in your life where you consistently experience friction?
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How would you describe your relationship with your physical self? Do you feel connected to your body?
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What would the version of you with no fear do next if you knew it would work? *
What are 3 things that you love about yourself? (Don't be humble here)
Is there anything draining your energy now?
I see potential everywhere, but it can be challenging picking one path.
Strongly disagree
Strongly agree
Clear selection
I am in tune with my natural energetic rhythms and I utilise them well.
Strongly disagree
Strongly agree
Clear selection
What is your social media handle?
Is there anything else you would like me to know about you?
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