First Name

Last Name

Phone *

Email *

Which mentorship group(s) are you interested in joining? You may select more than one. *

Therapeutic Nature-Based Interventions Mentoring Group

Somatic Trauma Mentoring Group

What does your work currently look like in the world? *

What would you ultimately like your work to look like? *

What are your strengths as a healing practitioner? *

What are your areas for growth? *

What are you wanting from this mentorship? What are your goals? *

What draws you to mentorship with me in particular? *

What is your theoretical orientation? (It is okay if you are not yet clear on this!) *

What would you be very happy to leave this mentorship having accomplished? *

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