One-on-One Coaching Application

03 | 1:1 Coaching

Application Form

This application helps us ensure this work is aligned for both you and your coach. Please answer thoughtfully. All information is confidential.

🌿 Section 1: Basic Information

First name

Last name

Email

Phone

Best Time to Reach You

Daytime

Early Evenings

Time Zone

Preferred Method of Contact

Call

Text

Email

🌿 Section 2: Why You’re Here

What is calling you toward private coaching at this time?

What patterns, experiences, or areas of your life feel ready for healing or deeper understanding?

Have you previously worked with a coach, therapist, or spiritual mentor? If so, what was meaningful about that experience?

🌿 Section 3: Commitment & Readiness

On a scale of 1–10, how ready are you to do deep inner work?

This coaching container requires a 3-month commitment. Are you prepared to show up consistently during that time?

Yes

I have questions

The foundational container begins at $2,000. Are you prepared for this level of investment in your healing and growth?

Yes

I have questions

🌿 Section 4: Alignment

What does healing or alignment look like for you right now?

Is there anything else you feel we should know before moving forward?

Jeff C. personally reviews each application to ensure the work is a good fit. If it feels aligned, you will receive next steps for beginning the coaching process.

Your responses are private and will only be used to

review your coaching application.

Our Mission - To ENHANCE the Lives of Everyone WE get to SERVE!

Our Core Values - to Inspire, Celebrate and Educate
with Humility, Love and Discernment.

Coaching Application

03 | 1:1 Coaching

Application Form

🌿 Section 1: Basic Information

🌿 Section 2: Why You’re Here

🌿 Section 3: Commitment & Readiness

🌿 Section 4: Alignment

Our Mission - To ENHANCE the Lives of Everyone WE get to SERVE!

Our Core Values - to Inspire, Celebrate and Educate with Humility, Love and Discernment.

Coaching Application

​

03 | 1:1 Coaching

Application Form

🌿 Section 1: Basic Information

🌿 Section 2: Why You’re Here

🌿 Section 3: Commitment & Readiness

🌿 Section 4: Alignment

Our Core Values - to Inspire, Celebrate and Educate
with Humility, Love and Discernment.