Full legal name
Preferred name
Email address
Phone number
Street address and apartment/unit
City, state/province, postal code, country
Time zone
How did you hear about She Shifts?
PREMIUM COACHING | APPLICATION WAITLIST
Your Season & Desired Shift
02 Tell us where you are and what you desire to change.
Answer honestly and thoughtfully. There are no perfect answers. Your responses help us understand
whether She Shifts is aligned with your present season.
1. Briefly describe the season of life you are currently in.
2. What is one major area and one minor area you are trying to shift during these 12 weeks?
*
Major area
Minor area
3. What patterns, beliefs, habits, fears, or circumstances do you believe have kept you stuck?
4. Why are you seeking coaching now? What makes this the right time for you to begin?
5. At the end of the 12 weeks, what would meaningful change look like to you?
PREMIUM COACHING | APPLICATION WAITLIST
Readiness & Program Fit
03 Your participation is part of the transformation.
Please check each statement that reflects your willingness and understanding. Your coach will guide,
challenge, support, and provide accountability, while you remain responsible for your choices and
implementation.
Are you currently experiencing an urgent crisis or seeking support that requires a licensed or emergency professional?
If yes, briefly explain only what is necessary for determining program fit.
PREMIUM COACHING | APPLICATION WAITLIST
Availability & Final Reflection
04 Help us understand what would support your participation.
What days and general time windows are usually best for a 75-minute coaching session?
Are there known dates or circumstances that may affect your participation once coaching becomes available?
Is there anything else you would like us to understand before reviewing your application?
PREMIUM COACHING | APPLICATION WAITLIST
Your Acknowledgment
05 Review, sign, and send your application.
By typing my legal name below, I confirm that I personally completed this application and intend my typed
name as my applicant signature.
Typed legal name / applicant signature
Date
SUBMIT APPLICATION