Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
How did you find me?
*
Friend/Family
Instagram
Facebook
Google Search
Other
What called you to apply for mentorship at this time?
*
What are you currently moving through in your life that you desire support with?
*
What are your intentions or hopes for our work together?
*
Have you worked with a mentor, coach, or guide before? If so, what was your experience like?
Which mentorship option are you most interested in?
*
Free Discovery Session
3-Month Mentorship
Do you feel ready to invest time, energy, and financial resources into this journey?
*
Yes
No
Unsure
Is there anything else you’d like me to know about you, your journey, or your intentions?
Sacred Agreement Acknowledgment
*
By checking this box and submitting this form, I acknowledge and agree to the following:
I understand that this mentorship is a sacred space for spiritual and personal growth. It is not medical treatment, therapy, or a substitute for licensed professional care.
I honor my own sovereignty and take full responsibility for my choices, actions, and well-being. While guidance is offered, I understand no specific outcomes are guaranteed.
I understand that all payments are non-refundable. If I select a payment plan, I commit to completing all scheduled payments in full.
I respect the time and energy of this container. If I need to reschedule, I will do so with at least 48 hours’ notice; otherwise, the session may be forfeited.
I will keep all meditations, practices, and materials for my personal journey only, and will not share or distribute them.
By submitting this form, I step into this mentorship with openness, responsibility, and reverence for the sacred work we will share.
I Agree
I Do Not Agree
Thank You for Applying Your application has been received! I’m honored that you’re exploring this next step on your journey and taking a moment to step fully into your truth.
I’ll review your responses carefully and be in touch soon to share next steps. This container is sacred, and I want to ensure it’s the right fit for your path.
With love, Alisha