Full Name

Email *

Phone *

Why is creating a high-ticket ($3,500++), trauma-aware, transformational coaching program or package the right move for you right now? *

Do you have a background in traditional therapy, counseling, social work or other mental health education/work? *

What are your business goals for the next 12 months? *

What are your personal goals for the next 12 months? *

Do you have a coaching business already, if so, how long have you had it? *

I'm just getting started

I've been coaching for less than 5 years

I've been coaching for 5+ years

What are you most interested in getting out of certification and training with us? (please select all that apply) *

Move from undercharging, to charging a minimum of $3,500 per client

Learn Evolved NLP to work with my unconscious mind to clear blocks

Learn the techniques to use with others

Make consistent money

Have more influence and a competitive edge in sales

Deepen my spirituality or spiritual process

The tools we teach for Transformational Coaching, Quantum Time Release, Trauma Awareness, Alchemic Forgiveness and Evolved NLP are powerful and we're very clear on who we want to work with. Are you an awesome human being who will use "the force" for good once we train you? *

Yes

Tell us one awesome thing about you (cause we believe in sharing and declaring magnificence!) *

We have 10-15 applications for every spot available in our program and we can only interview those who are motivated to succeed. Why is now the right time to invest time, money, and energy into starting or growing your transformational coaching business? *

What investment are you prepared to make to be certified to a high-level in Transformational Coaching, Create And Sell Your $3,500 Breakthrough Package, and get a significant return on that investment? *

$ - I am not prepared to make any financial investment right now

$$ - I'm dabbling and not really serious about certification - or - I'm looking for certification that costs less than $1000

$$$ - I know that a quality certification is going to mean investing time, money and energy I'd like to get on a call and discuss tuition and financing options

$$$$ - I want the best training possible. My investment could be significant (eg. high 4 or 5 figures) for the right program. It depends on what's included, the results I can get, and I'm open to financing if I can see a clear return on investment

Were you referred to us by someone who has worked with us already? If so, put their name below

I agree that I am submitting this application to Avalon Empowerment in order to set up a call, and give permission for you to contact me via email/text message about this appointment.