ICON ERA APPLICATION FORM

Welcome to the first step of your Icon Era.
This application is your opportunity to speak your truth, share your vision, and help me understand where you are in your journey. Every answer is reviewed personally and held in confidentiality and care. If it feels aligned, you’ll receive a personal invitation to begin.

Name

First Name

Last Name

Where are you located (City/Time Zone)?

What called you to apply for Icon Era at this time in your life? (Let your intuition guide you here—this can be a feeling, a desire, a shift, or a season you're moving through.)

Which mentorship container are you feeling drawn to?

How would you describe the season you're currently in—emotionally, spiritually, or energetically? (Ex: releasing, rebuilding, rising, reconnecting, rediscovering myself…)

What are 1–3 things you desire to experience, shift, or embody through this mentorship?

Have you worked with a coach or mentor before? If so, what was your experience like? (It’s okay if you haven’t—this is just to understand your background.)

Do you know your Human Design type or authority? (If yes, share below. If not, no worries—we’ll explore it together.)

Icon Era is a high-touch experience that requires time, energy, and presence. Are you ready and willing to show up for yourself during this container?

This is a paid mentorship. Are you prepared to make the financial investment if invited to join? (Payment plans are available.)

Is there anything else you’d like me to know about you, your story, or your vision before we begin?

ICON ERA APPLICATION FORM

Modern Muse Era™