Worksheet

Scholarship Application

Would you like to be a part of my group coaching program, yet the cost prohibits you?

My mission is to provide Divine Rebels with the tools to kick ass and I am happy to announce my scholarship program for those that may need it with a discount of 40%.

Apply for the scholarship here. 

1.

Scholarship Application for Deeper Mission + Freer Heart Group Program

Your Name: 

2.

Your Email address:

3.

Your Phone #:

4.

Your Current City of Residence:

5.

How did you hear about this program? ( I will share the love with who sent you):

6.

What personal or business challenges are you facing now?

7.

What actions have you taken to overcome these challenges?

8.

What would change for you if they were resolved?

9.

What is the hidden cost of not resolving them?

10.

How committed are you to working with a coach in order to resolve these challenges?

11.

What have you done previously for your own personal growth? ( programs, self study, therapy, etc)

12.

Who are 3 leaders that you admire most?

13.

What are you compelled to change in our world? Why?

14.

Your current state of being ( check all that apply):

15.

How much money have you invested into your personal growth so far?

16.

What do you want to be known for at the end of your life?

17.

What is your greatest desire? ( maybe something you've never even said before)

18.

Please tell me why you are deserving of this scholarship program.... go ahead and brag, this is your chance! I REALLY do want to know.

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