EMPOWERED Application Form - Carin Rockind

Hi love,

Congratulations on taking this first step of even raising your hand that you are interested in EMPOWERED. That takes courage and strength. Please complete this application so that I can learn more about you, your hopes, your goals, and your desires for the EMPOWERED Sisterhood so that we ensure we’re a good fit to work together.

Before you fill this out, take a deep breath and feel into your heart and soul. Get in touch with the pain you’re feeling and the joy you desire to experience. Then consider that EMPOWERED is an investment – an investment of time, energy, heart, and financial resources. It’s the best investment you will ever make because this is your one and only life. You deserve to feel excited and wholly fulfilled. Plus, your vibrancy impacts everyone around you. As you fill this out, consider your readiness to change your life and willingness to make yourself a priority.

Note that everything you submit here is completely confidential. I am the only one who will read it. Someone on my team will contact you within a few business days if we’re a good fit and set up a discovery call to determine the next steps.

If you have not heard from us within a few days or you have any questions, please contact Josh at josh@purposegirl.com

xo,
Carin

Name*
First Last
Email*
Phone*
Your Skype Name*
If we met one year from today in a coffee shop, how do you want to feel in life?*
Go a step further. Specifically, what do you want to feel that you don’t today? About your life? About your work? About your relationships? About play?*
And if we could magically change something today, what do you (secretly) wish you could have, experience, or do?*
What are your frustrations with your life and/or work today?*
What have you tried thus far to address this? What has and has not worked?*
On a scale of 1 – 10 where 10 is the most, how important is it to you to change your life?*
1 2 3 4 5 6 7 8 9 10
On a scale of 1 – 10 where 10 is the most, how motivated are you to change your life?*
1 2 3 4 5 6 7 8 9 10
Why is it important for you to become happy, fulfilled and to feel fully alive? How will it impact your life? Your family? Your work?*
How do you rank the importance to you in creating a life that feels free, alive and happy compared to other responsibilities and goals, such as children’s needs, saving for vacation, etc.?*
How committed are you to becoming happy and creating a life that is fulfilling, on purpose, and feels fully alive?*
If we are a right fit to work together, how able or willing are you to invest in your personal development right now?*
- I have the financial resources necessary to invest in creating the fulfilling, vibrant life I desire
- I’ll do whatever is necessary to get the financial resources to invest in myself
- I have no financial resources to do anything different than what I am already doing and I’m not willing to find them.
If you are a right fit for this program, and this program is a right fit for you, how able or willing are you to invest in your personal development right now?*
- I have the necessary financial resources to invest in creating a happier, healthier, more fulfilling life for myself.
- I'll do whatever I need to do to get the necessary financial resources to invest in myself.
- I have absolutely no financial resources to to do anything differently than what I'm already doing and I am not open to finding them.
Thank you for sharing your desires, hopes, and heart with me. It’s an honor to be in touch. I will read through your application and we will be in touch about next steps.
With so much love,
Carin
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