SHIFT! Application Form

What is your full name?

First Name

Last Name

What is your email address?

Why are you interested in applying for SHIFT!

Tell me about yourself. Where are you now in your life and where do you want to be? What goal(s) do you want to accomplish?

What has stopped you achieving your goal(s) up till now?

Pick as many as apply to you:

Feelings of unworthiness/low self-esteem

Fear of failure

Fear of success

Fear of the unknown

Overwhelm/not knowing where to begin

Other

Please elaborate, if you can. The more I know, the better I can help you!

What attempts have you made up until this point to try to overcome these challenges to achieving your goal(s)?

What other trainings, courses and/or coaching programmes have you taken in the past? What were your results?

Why is achieving your goal(s) important to you and why now? What happens if you don't take action?

Which of the following best represents your financial ability to invest in yourself right now?

Please pick one:

I'm willing and able to invest whatever it takes to achieve my goals. I'm ready to create results

Investing in myself right now would be a financial stretch but I'm willing to make it work, given the right options

I'm completely tapped out and not in a financial position to make an investment in myself right now

Shift application form