🌟 Mentorship Application Form

Section 1: Personal Information

Full Name

Email Address

Phone / WhatsApp (if applicable)

Age

Location / Time Zone

Current Line of Work / Occupation

Preferred Mentorship Duration
3 months6 months12 months

Section 2: Soul Growth & Life Journey

How would you describe your soul’s journey thus far?

What spiritual or personal growth practices have you explored?
MeditationEnergy WorkReikiTherapy / CounselingPlant MedicinePrayerYoga / BreathworkCoaching / MentorshipShadow WorkInner Child WorkOther

Religion

What challenges, lessons, or breakthroughs have been the most significant in your growth so far?

How do you currently connect with your inner guidance, intuition, or higher self?

Section 3: Current State & Readiness

Why do you feel called to mentorship at this time?

What area of your life or soul path feels most ready for transformation or support right now?

What patterns, beliefs, or blocks do you feel are holding you back from embodying your full potential?

Are there any fears or resistances you notice when you think about being deeply supported in this way?

Section 4: Vision & Commitment

What do you envision for yourself by the end of this mentorship?

What gifts, wisdom, or soul essence do you feel ready to bring forward into the world?

How committed are you to showing up fully for yourself and the mentorship journey?
1 - Not ready2345 - Fully committed

Section 5: Practical Considerations

Do you have any health, energetic, or emotional considerations I should be aware of?

Are you currently working with any other healers, therapists, or mentors?
YesNo

How many hours per week do you feel you can dedicate to your growth and mentorship work (including sessions, reflection, and integration)?
1–2 hours per week3–5 hours per week5+ hours per week

Individualized mentorship programs can be tailored from $10,000 AUD per 3 months.

What is a comfortable budget for you? What is a stretch?

Do you feel there is personal growth for you in choosing a comfortable investment amount or a stretched investment amount?
A comfortable investment amountA stretched investment amount

Would you like an individualized retreat as part of your mentorship?
YesNo

Is there anything else you’d like to share about your journey or intentions?

Section 6: Closing

How do you feel I can support you best?

Do you have any questions for me that you would like answered?

How did you hear about me and this mentorship?
InstagramWebsiteReferralOther

Which payment option do you prefer?
Pay in fullMonthly paymentsUnsure / would like to discuss