Application

Eyes on the Stars Feet on the Ground

Thank you for your interest in Eyes on the Stars & Feet on the Ground! Once you have completed this form, I will reach out within 2 business days to discuss next steps.

Full Name

Perferred Pronouns

Preferred Phone Number

Alternative Phone Number

Name of Business

Location

What are your three biggest values?

What are three things that motivate you?

What is a goal or dream you’d like to accomplish in the next year?

What are the challenges or obstacles currently standing in your way of this goal (either internally or externally)?

What is a goal or dream you’d like to accomplish in the next 5 years?

What about this program drew you to apply?

What do you hope to get out of this program?

Are there people you'd like to be grouped with for this program?

Eyes on the Stars & Feet on the Ground is not currently accepting applications. However, if you have a small group of women interested in this program, please email me from more information.

Eyes on the Stars Feet on the Ground

Application

Eyes on the Stars & Feet on the Ground

Group Dates

Consultation Form