Thank you for taking the time to fill out this application form. Your information is confidential and will not be shared. 

* First Name
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* Last Name
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* Email Address
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* Country
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* Phone Number
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* Why are you interested in participating in this program?
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* . What are the intended results that you're committed to accomplishing out of your participation?
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* Do you have a regular meditation practice? If so, how often and how long?
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* Are you willing to be coachable when you come up against your edges, habitual patterns, and trauma/shadow parts?
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* Are you able to commit to participating in at least 75% of the sessions each month?
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* What learning, coaching, or personal requests do you have of Michael?
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* Are you willing to keep the confidentiality agreement and refrain from sharing anything about the people in this program, outside of the program?
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Is there anything else you would like to share/ask that was not covered in any of the above.
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Optional questions to inquire and live into:

What do you stand on when you feel you've lost your way?
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What do you stand for that guides your way through life?
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