0%
Worksheet

Application for Private Mentoring

I'm so glad you're interested 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

1. ➜

First Name:

2. ➜

Last Name:

3. ➜

Email Address:

4. ➜

Name of Company

5. ➜

Role at Company

6. ➜

Website (if applicable):

7. ➜

Why are you considering mentoring with Emma Churchman?

8. ➜

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

9. ➜

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

10. ➜

Monthly mentoring packages include a combination of Voxer voice messaging support and 30 minute 1:1 phone sessions. VIP Days are in person at the Biltmore Estate in Asheville, NC. Does this format work for you?

11. ➜

Mentoring with Emma requires a financial commitment. Packages begin at $3k/month (payment plans available). Are you able to make this financial commitment at this time?

12. ➜

How did you learn about Emma Churchman?

IMPORTANT: Click Save Worksheet to submit your response

Please click the Save Worksheet button at the top or bottom of the page to submit your response.