Thank you for your interest in my 1-1 Ambition to Action Private Mentoring Program. Please complete all questions below.

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* 1. Your full name

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* 2. Have you ever worked with a mentor or coach before? If yes, please tell me about your experience (what worked, didn't work well for you).

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* 3. Your city, state, and country PLUS your ideal time windows for our weekly 45 minute sessions. Note that we'll aim to have the same meeting time each week and will be flexible when we need to shift, too.

Please note I'm available Mondays-Saturdays and am on Pacific time zone. I have some flexibility for early morning as well as evening sessions in addition to "regular working hours."

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* 4. When would you like to begin the 1-1 mentoring sessions?

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* 5. Would you like to request a discounted rate for the mentoring program? If yes, what amount feels both in abundance and in ease for you to offer? The full program price is a one-time payment of $2,500 or three monthly payments of $1,000.

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* 6. Your email address

Please send a quick "DONE" email to KimberlyBlanchardCoaching@gmail.com to confirm completion of your application.

Thank you for your interest in my 1-1 mentoring program!

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