APPLICATION FORM | Andrea Anderson

First Name

Last Name

Phone

1. What do you want to transform in your life?

2. What will be possible for you once you've transformed this?

3. What brings you joy and inspiration?

4. What concerns you most about the world today is.....?

5. What are you tolerating in your life?

6. If time and resources were not a concern, describe the things you long to do.

7. What tells you that you are ready to commit to being disrupted and being with the discomfort of exploring what's holding you back?

8. What's the biggest lie you're telling yourself?

9. What is your greatest ambition?

10. What do you most want to get from taking part in the BOLDER learning community?

I commit to attending every BOLDER Session

Yes

If you answered NO to the above question, please let me know which dates you cannot attend.

I commit to taking BOLD action outside of the group sessions.

Yes