PowerHer™ Access Membership Application
PowerHer™ Access Membership is designed to make transformation accessible to women who need financial assistance. We believe that every woman deserves the opportunity to step into her power, regardless of financial circumstances. If cost is a barrier, we invite you to apply for a limited Access Membership.
Applicant Information

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Name

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Phone Number

Country Code
Phone number
Personal Growth & Goals

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What is your biggest personal or professional challenge right now?

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What excites you most about joining the PowerHer™ Movement? (Choose up to 2)

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In a few sentences, tell us why you want to be part of PowerHer™ and how this opportunity would impact you.

Financial Need & Commitment
PowerHer™ Access Membership is limited. We want to ensure that each spot goes to a woman who will engage fully in the experience.

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Are you currently experiencing financial hardship that makes full-priced membership difficult for you?

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If awarded a PowerHer™ Access Membership, do you commit to fully participating in the program, engaging with the content?

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Would you be willing to pay a small portion of the membership cost if selected? (This does not impact your application but helps us understand need.)

Final Steps & Submission
We’re excited to have you as part of the PowerHer™ Movement!

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Any additional thoughts you'd like to share?