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Worksheet

Application for Private Mentoring

I'm so glad you're interesting in private mentoring with me. Mentoring packages are available as one day VIP Intensives, as well as in 3, 6 and 12 month packages. Complete this application to be considered for mentoring. Once you submit your application, my team will email you within 3 business days if I feel we are a fit for working together.

Best, Emma

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First Name:

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Last Name:

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Email Address:

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Website (if applicable):

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Why are you considering mentoring with Emma Churchman?

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What is the #1 result you hope to achieve from working with Emma?

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Anything else you'd like Emma to know when considering your application?

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Monthly mentoring packages include a combination of Voxer voice messaging support and 30 minute 1:1 phone sessions. Does this format work for you?

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Mentoring with Emma requires a financial commitment. Packages range from $10,000 - $100,000 (payment plans available). Are you able to make this financial commitment at this time?

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How did you learn about Emma Churchman?