Midlife Reinvention 12-Week Group Mentorship Application

Please take a few minutes to complete this application. Your responses will help me understand your goals, challenges, and whether this program is the right fit for you. If accepted, you’ll receive the next steps to enroll.

Full Name

Phone *

Email *

Where are you located?

What is the main reason you’re interested in this mentoring program?

Which area(s) do you need the most guidance in? (Check all that apply)

Solo travel planning & confidence

Transitioning to remote work

Logistics planning for a location-independent lifestyle

Overcoming fear, self-doubt, or mindset blocks

Creating a work-travel balance

Other

Have you ever traveled solo before?

Yes

Are you currently working remotely, or are you looking to transition?

Yes

Considering it

What's holding you back from stepping into this lifestyle? (Check all that apply)

What is the biggest challenges you're facing right now in your journey?

Why do you feel now is the right time for this mentoring program?

Are you ready to commit to making changes over the next 12 weeks?

Yes

The investment for this program is $997.

Are you financially ready to invest in your growth?

Yes, I am ready to invest

I'd like to discuss options

Do you have any questions before enrolling?

Would you like to schedule a 15-minute Discovery Call before committing?

Yes

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