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PRIVATE MENTORSHIP APPLICATION FORM

Thank you for your interest in working together.


Please complete this short application form carefully and honestly — it helps me understand your goals, challenges, and whether this mentorship is the right fit for you.

All information you share is strictly confidential and reviewed personally by me.


If I believe I can truly support you, I will contact you within a few days to schedule a complimentary clarity call.

There are no right or wrong answers — this helps me understand how your nervous system currently functions.

This mentorship is not suitable for acute psychiatric or crisis situations. If this applies to you, I recommend consulting a qualified mental health professional first.

Thank you for your application.
I personally review every submission. If I believe this mentorship could be a good fit, I’ll contact you within the next few days to schedule your complimentary clarity call.
Please check your email for updates.

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