Participant Application

Thank You

for your interest in my Sacred Embodiment Healing Mentorship. I am truly excited that you have decided to take the next step and complete an application.

There are just a couple of things I need you to know before you go ahead and complete the form…

Firstly, participant numbers are strictly limited so completing the application is not a guarantee of a place in the program. However, should you miss out on getting a place, I will do my very best to offer you an alternative to start getting the help you need to begin your healing journey.

Secondly, you do not need to pay any money today. If your application is accepted I will forward you an invoice to secure your place in the program.

Thank you again and I hope that we can work together starting in March.

Warmly,

Carissa

Application Form

Please Note: This website is secure and your information will not be used for any reason other than assessing your application for the program you are applying for. If you have any questions about why certain information is required, please feel welcome to contact me at hello@carissarodgers.com

How would you prefer to pay for the program? (Invoice will be sent once your application is approved)

10. Are you committed to your own healing and willing to take responsibility for putting in the work that needs to be done to reach your desired changes? (HINT: I need you to select 'YES' if we are going to work together)

Have you been diagnosed with any mental health conditions? (PLEASE NOTE: This does NOT impact your application, however, it is important for me to be aware so I can best understand your needs)

Acceptance

12 + 9 =

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