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Private Mentorship Application 2024

Please fill out the application and someone from my team will reach out to you within 48 hours!

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Question 1 of 9

Full Name

Question 2 of 9

Email

Question 3 of 9

What is your Instagram handle?

Question 4 of 9

What are you seeking coaching with Roxy for?

Question 5 of 9

What type of results would you like to experience from coaching?

Question 6 of 9

Have you worked with a coach or a mentor in the past, and if so, what was your experience?

Question 7 of 9

What are your expectations of me as your mentor?

Question 8 of 9

My coaching packages begin in the 4-figures and increase depending on length of time together and frequency of communication. Are you in a position financially to begin coaching right away if we are a good fit?

Question 9 of 9

Anything else you'd like to share...

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