Work With Madelaine Application Form

Apply to have Madelaine as your mentor.

Hi there! WE INVITE YOU TO FILL IN THE FORM BELOW SO THAT WE CAN CONNECT AND EXPLORE HOW MADELAINE CAN SUPPORT YOU IN YOUR LIFE. Please write and tell us a bit about yourself, why you would like to work with Madelaine and what you would like support with. We are looking forward to connecting with you. Love, Team Madelaine.
Full Name*

First NameLast Name
Address*

Street Address

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Postal / Zip CodeCountry
Phone Number*

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Which if these categories suit you most?

Artist/ CreativeEntrepreneur/ Business OwnerPersonal Growth SeekerOther

Which area resonates most with you?

3-Month Deep Immersion6-Month Full IntegrationNot sure, I need guidance.
What's your yearly income?
Are you satisfied with the income you are making right now? Why, or why not?
What are 3 achievements you are really proud of?
Tell us about 3 events that have deeply impacted your life.

Would you consider yourself living on purpose? Why, or why not?
What is the one thing that if you changed it, it would have a massive, positive impact on your life?
If you could create anything, what would you create?

What's the main reason you feel called to work with Madelaine at this point in your journey?
What would make you an extraordinary client to work with?

This is a high-level, premium coaching experience. Are you ready to invest in yourself at this level (time, energy, and financial commitment)?
Is there anything else you would like Madelaine to know?

Apply to have Madelaine as your mentor.