New Empowerment Acceleration Application

I am looking forward to hearing more about you and your highest goals and desires, so that I can serve you best. Please answer these questions as openly and honestly as possible, and don’t over think it! This will also help you see if I am the Expert and Mentor for you.

Exclusive Private Mentorship positions are very limited, and subject to a first-acceptance, first-serve basis once the application process is complete. Once space is full, you will be placed on our Premiere Opportunity List.

“Life has an expiration date, therefore we have nothing to lose when it comes to living the fullest most fulfilling life imaginable. Getting out of our own way, and “Familiar Zone,” which is an illusion of thinking we are comfortable, is the ONLY way to achieve our greatest goals.”

NOTE: Once selected, you will be a Case Study (Anonymous By Request) while in partnership with me. This allows me to rapidly continue to maintain my cutting edge coaching technology so that I am able to empower as many people like you as possible. Thank you in advance for being this contribution to humanity!

Once your application is reviewed, you will be notified by email if we are not a “Mentorship Match.” If we are initially, we will set up a phone connection call for your private interview to be unquestionably sure you are ready to TRANSFORM Yourself and Your Life. We will also discuss Investment Options in detail. There is absolutely no obligation. Application review and processing is typically 2-4 weeks upon receipt.

Because my clients have direct access to my Proprietary Coaching Methods & System, only the most determined candidates will be chosen to participate to ensure that the integrity of this work is never compromised.

As the saying stands true, “When the student is ready, the teacher will appear.”

Breaking through our internal resistance is necessary to allow and welcome an experience of a lifetime. I PROMISE that this will create a BRAND NEW PARADIGM, and enlighten you beyond what you have ever KNOWN. Your new WISDOM will catapult your life resulting in miraculous health, family, relationships, career, finances, purpose and freedom.

* IF YOU DON’T THINK THIS IS OBTAINABLE, DO NOT APPLY!

Time is our most precious resource, so get started now!

Mentorship Application
  • First Name*
    0
  • Last Name*
    1
  • Email*a valid email address
    2
  • Skype ID (Only if applicable)*full name
    3
  • Mobile Phone*full name
    4
  • Home Phone*full name
    5
  • Office Phone*full name
    6
  • Country Of Residence*select your country
    7
  • Are you committed to elevating your level of self-awareness, consciousness, and self-esteem?
    8
  • Are you committed to elevating your level of self-awareness, consciousness, and self-esteem?*
    Yes, absolutely
    Maybe, I'm not sure
    I don't think so
    9
  • Are you willing, ready and able to commit to 5-10 hours per week to your Self-Acceleration, and Self-Improvement education?
    10
  • Are you willing, ready and able to commit to 5-10 hours per week to your Self-Acceleration, and Self-Improvement education?*
    Yes, absolutely
    Maybe, I'm not sure
    I don't think so
    11
  • Would you consider yourself to be?
    12
  • Would you consider yourself to be?*to order
    Highly driven
    Moderately driven
    Happy where I am
    13
  • How much do you invest into your Self-Improvement and Self-Education to further your endeavors? (U.S. Currency)
    14
  • How much do you invest into your Self-Improvement and Self-Education to further your endeavors? (U.S. Currency)*to order
    Zero
    $1 - $1,000 per year
    $1,000 - $10,000 per year
    $10,000 - $25,000 per year
    $25,000 - $50,000 per year
    $50,000 - $100,000 per year
    $100,000 + per year
    15
  • What is your current occupation, career or business?
    16
  • What is your current occupation, career or business?*
    17
  • What is your greatest motivator?
    18
  • What is your greatest motivator?*
    19
  • What are your highest priorities right now?
    20
  • What are your highest priorities right now?*
    21
  • What are your most urgent concerns right now?
    22
  • What are your most urgent concerns right now?*
    23
  • What 3 goals would you like to accomplish right now? List in order of importance.
    24
  • What 3 goals would you like to accomplish right now? List in order of importance.*something more
    25
  • Are you willing to take an honest look at yourself in order to source and obtain your ultimate life?
    26
  • Are you willing to take an honest look at yourself in order to source and obtain your ultimate life?*you like
    Yes, absolutely
    Maybe, I'm not sure
    I don't think so
    27
  • How would you describe your relationship to YOURSELF?
    28
  • How would you describe your relationship to YOURSELF?*
    29
  • How would you describe your relationship to OTHERS?
    30
  • How would you describe your relationship to OTHERS?*
    31
  • If MONEY were a person, how would you describe your relationship to MONEY?
    32
  • If MONEY were a person, how would you describe your relationship to MONEY?*
    33
  • What do you think is holding you back from accomplishing your most desired goals and dreams?
    34
  • What do you think is holding you back from accomplishing your most desired goals and dreams?*
    35
  • Answer this as AUTHENTICALLY as possible. "If Only I...."
    36
  • Answer this as AUTHENTICALLY as possible. "If Only I...."*something more
    37
  • What issues in your past have stopped you from staying focused and taking action? (Please be specific)
    38
  • What issues in your past have stopped you from staying focused and taking action? (Please be specific)*
    39
  • What is the #1 reason for seeking Self-Acceleration/Education Mentoring?
    40
  • What is the #1 reason for seeking Self-Acceleration/Education Mentoring?*
    41
  • Why are you choosing to apply for EMPOWERMENT Coaching?
    42
  • Why are you choosing to apply for EMPOWERMENT Coaching?*
    43
  • What would you most like to accomplish before you die?
    44
  • What would you most like to accomplish before you die?*
    45
  • Why would you be a dedicated, diligent and steadfast candidate for our Transformational Programs? (Please be specific)
    46
  • Why would you be a dedicated, diligent and steadfast candidate for our Transformational Programs? (Please be specific)*
    47
  • Tell me more about your ability to INVEST into yourself and your life?
    48
  • Tell me more about your ability to INVEST into yourself and your life?*
    49
  • In 500 words or less, explain why Karen would choose to TRANSFORM and EMPOWER you to design and command your ultimate life.
    50
  • In 500 words or less, explain why Karen would choose to TRANSFORM and EMPOWER you to design and command your ultimate life.*
    51
  • What days and times are the best to reach you by phone or Skype?
    52
  • What days and times are the best to reach you by phone or Skype?*
    53
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