I'm Master Coach Wanda Marie and
I Would Love to Welcome You Into the Mentorship Program

Mentorship Application

Today's Date

Month

Day

Year

I'm Applying For

Private Mentoring

Group Mentoring

Private or Group Works for Me

First name

Last name

Email

Phone

Mailing Address, including zip code/region

Link to your most active Social Media site

Date of Birth (must be over 18)

Month

Day

Year

How did you hear about us?

Relationship Status (select one or more)

Religious Status, and are you currently active?

What is your main level of awareness?

Dreamer: Asleep (I'm totally new to this stuff)

Creator: Eyes Opened (I'm creating great parking spaces)

Seeker: Aware (I'm learning to create the life I want to live)

Servant: Fully Awake (I'm learning to love more, let go and surrender)

What is the most significant thing going on in your life right now?

Check only those boxes that are a "YES" for you.

I can be relied upon to be on time for all sessions.

I am willing to be on camera and fully participate in the sessions.

I will do my best to complete all assignments on time.

I am willing to share openly and honestly my thoughts and feelings.

If in a group program, I will hold sacred the group's sharing.

I will take full responsibility for my journey and experiences.

I have adequate funds to pay for mentoring and will not suffer.

I get that this is an act of self-love and personal commitment to me.

Anything else you would like us to know about you?

CLICK HERE if you have questions about the program and would like to schedule a brief phone call.