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Mentorship Application Form

First name

*

Last name / family name

*

Email address

*

Website URL

Facebook profile, Instagram handle, Voxer username

I'd love to say hello!

Where are you at in your business?

*

Where are you at in your business?

A

I haven't worked with any clients

B

I've designed 1 or 2 client websites (free or paid)

C

I've sold a few client website projects

D

I've been getting clients fairly consistently but I need more direction/focus/something else

E

I'm in a different situation not covered in these options

What are your three main goals for the next 6 months?

*

Why are you looking for mentorship?

*

No need to overthink this, just tell me what's not working and what you want to change.

Why do you want to work with me?

*

There are lots of people out there offering mentorship. Why do you think I would be a great mentor and coach for you?

Diversity, equity, and inclusion (DEI) is at the core of everything I do, including this mentorship program. How do you think of DEI in your business?

*

Diversity, equity, and inclusion (DEI) is at the core of everything I do, including this mentorship program. How do you think of DEI in your business?

A

It's important to my business, too.

B

I'm new to DEI and open to learning more.

C

I'm not interested in DEI.

Which payment plan are you interested in?

*

(You can change your mind later.)

Which payment plan are you interested in?

A

Pay in full (single payment of $6,000 USD)

B

Monthly payments (six payments of $1,000 USD each)

How did you find me?

How long have you been in my world?

How long (roughly) have you been reading my emails, or seeing my content on Facebook, Instagram, YouTube, etc.?