Coaching Application Form

Ready to Break the Bottle and Lead with Identity? Apply Below.

Full Name

Email Address

Phone Number

City & State / Country

LinkedIn Profile or Website (Optional) [Text Input]

Which coaching experience are you applying for?

If applying for 1-on-1 coaching, what level of commitment are you considering?

What’s your current role or title?

Briefly describe your current professional and/or personal situation. What challenges are you facing right now?

What are your top 1–2 goals you'd like to achieve through coaching?

What do you feel is holding you back from reaching those goals right now?

What attracted you to Michael’s coaching programs? Why now?

On a scale of 1–10, how ready are you to break through your current limitations and take ownership of your transformation?

This coaching experience requires emotional honesty, accountability, and deep mindset work. Are you willing to lean into that process?

What type of accountability do you respond best to?

Have you invested in coaching, consulting, or leadership development before? If so, what was your experience?

This is a paid coaching experience designed for those serious about growth. Are you prepared to make a financial investment in your transformation?

If accepted, how soon are you looking to begin coaching?

Anything else you'd like Michael or the team to know as we review your application?

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