Golden Temple Group

Program Application

Hello!

I am so excited to get to know you better! This is the first step in joining Golden Temple. Please fill out the form below. Due to the sacred nature of this group the community will be chosen intentionally to ensure safety and integrity of the container.

I will be in contact within 72 hours of receiving your application to let you know if you have been accepted for the next step — A Call with Me!

Thank you so very much for your interest! I am excited for your transformation!

Name

First Name

Last Name

Phone

(###)

###

####

Where are you located? City / State / Country

Where did you hear about this program?

Briefly tell me about your background...

Tell me about why you are interested in joining this group...

Do you have any specific intentions or goals for this program? Please describe.

What do you consider are your strengths?

What are your top 3 current challenges?

What methods or modalities have you tried to manage these challenges?

What does your self-care currently consist of?

Do you have a support system? Describe what this currently looks like. Please include any Therapy or other healers you may be working with.

What challenges or obstacles have blocked you from peace or fulfillment in your life?

What kind of solutions are you looking for now?

What is your experience with spirituality? / What is your spiritual practice like now?

Do you have experience with Meditation?

Yes

Is there anything else you would like me to know about you?

I am only enrolling a limited number of woman, if your application is accepted are you committed to completing the remainder of the application process?

Yes

Is there anyone else you need to make the decision to join?

May I alert you via Text if your application has been approved?

Yes

Prefer E-mail

I verify this information is all true.