Apply for 1:1 Business & Life Coaching

Thank you applying to work with me!

Please take a moment to complete the form below. Once my team receives your completed form and deems us an appropriate, we will confirm your call.

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Full Name(required)

Email(required)

Phone(required)

How did you hear about Jen?(required)

Facebook LinkedIn LeTip Instagram Webinar Referral (share at the end) Other (share at the end)

If we are a fit, our initial consultation will be hosted on Zoom (video will be encouraged but will not be required)(required)

I already have Zoom I will download Zoom

What industry are you in?(required)

Business Title(required)

How long have you been in this role?(required)

Instagram Handle(required)

Linked In Profile

Other Social Media Profiles

What 3-5 words would you use to best describe you?(required)

If you could wave a magic wand, what is the FIRST problem you would solve for yourself?(required)

What do you feel is keeping you from solving this problem?(required)

How soon are you ready to experience lasting change?(required)

NOW! In the next month In the next 6 months Maybe in a year i'm not sure

Right now I…(required)

Am ready to invest in myself to become a better leader and improve my quality of life Have access to financial resources to make an investment in myself. Am tight on finances but if I knew my work and personal situations would improve I will find the means to invest. Do not have financial resources and am not willing to get resourceful.

If someone advised me to step out of my comfort zone…(required)

I would because I am 100% committed. This is a top priority for me and I will do whatever it takes to make a lasting change. I'm committed, but a little nervous. But with the right support, I KNOW I can do it. I don't really want to change. It's not a real priority for me right now.

Are you the sole decision maker in your household?(required)

Yes No – If not, please plan to have all decision makers present for our session.

Do you commit to showing up for our scheduled session OR to cancel at least 24 hours in advance if something changes? Please type "YES I DO" in the box to confirm.(required)

Finally, on a scale of 1-10, how ready are you to create LASTING change and experience true change in your life and work?(required)

Please share anything else that is important for our work together. (Please also feel free to share references, details about your industry, and other notes here)

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What People Are Saying

Jen has a natural ability to coach, train, direct and guide people in all aspects of life. She has a true gift of being able to grow individuals both professionally and personally.

Danielle O’Neill, Area Manager

I can confidently say that Jen’s guidance, expertise and patience have given me the tools to have a successful career in talent development. Her vast knowledge and keen eye allow her to succeed in developing people in any field, and I am continually grateful to her for the time she has spent developing me.

Gabrielle Bolin, Business Owner

Jen always finds time to listen and help. Rather than just giving advice, she asks empowering questions that allow me to find my own solutions and better understand my leadership style. She is both a friend and a mentor.

Shannon McCartney, General Manager

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