Eminence Official Application Form

Eminence Official Application

Welcome. Please take your time and answer from the heart. This is a space for your truth.

About You

Full Name *

Preferred Pronouns/Identifiers

Phone Number *

Email Address *

Address

Preferred Contact Method *

Phone Email Text Message

Emergency Contact (Name & Phone) *

Exploration

1. What draws you to Eminence at this point in your life? *

2. What does sovereignty mean to you right now? *

3. Where do you notice yourself living from expectations, people-pleasing, or old conditioning rather than your own knowing? *

4. What are you ready to explore or change over the next six months? *

5. What makes this level of commitment feel right for you now? *