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Please complete the application below to schedule your Interview. You will be contacted soon to schedule your interview, which will be for an hour. We look forward to connecting with you and supporting your growth.

First Name

Last Name

Company Name

Position or Title

Best Email

Best Daytime Phone Number

City

State

Zip Code

What level is your business at now?

Why are you most interested in becoming a member of the conscious leaders mastermind group? If someone referred you, please share who.

What do you believe are your top 3 priorities for your growth as a conscious leader? (personal or professional, or both and why you believe these are important for you)

What are your top three opportunities for this coming year?

What are your top three challenges for this year? For each of these challenges, how clear and confident are you (100% is fully clear and confident) that you can overcome each of these challenges?

When you imagine your life having achieved the top 3 opportunities you listed, what will have that get for you?

How aware are you of your own emotional state (what you are feeling in the moment) at any given time, and how aware are you of other people’s emotional state at any given time? When something or someone triggers you and changes your state, what is your typical response or reaction?

What do you believe you can contribute as a member of the conscious leaders mastermind group?

Who Should Apply?

Apply Now

Please fill out the confidential application below