Application Form

Work with Shelby 1:1!

Here is a confidential application form that will help us both get a sense of if this work is the best fit for your highest growth and healing. This form is for folks who are excited about diving into work together and showing up for themselves fully.

1. Name *

1. Name

First Name

Last Name

2. Email Address *

3. Phone Number

4. Where are you in the world?

5. How did you hear about Shelby’s work? Who or what referred you?

6. In the next year what would you love to have happen in your life regarding personal healing and growth?

7. What are three things you’re excited about getting from our work together?

8. How motivated are you?

Fiercely ready… ready to roll up my sleeves and dive in.

Open and curious and ready to put my toe in the water.

Interested but needing something to really grab my attention to motivate me.

9. Sessions are weekly so we can fully dive in, are you available for this?

10. What might get in the way of you reaching your goals and desires?

11. Have you experienced therapy, coaching or other personal development support before? Tell me a little about it and how it went.

12. One on One sessions with Shelby are offered in 12-Session Packages (which can be renewed and also paid monthly if needed). This is a significant investment in your time, money and energy and it’s important this process can be sustainable for you. If we decide to work together, are you available to fully commit to this process?

Yes

13. Tell me three ways you’ve already grown on your ever unfolding self-love adventure. Feel free to really brag about yourself here!