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Complete the Program Application 

Hi Gorgeous, think we’d make a good fit?

Wonderful! You’re exactly who I’ve been waiting for.

But, before we can confirm all the lovely details of working together, I would very much appreciate if you can take a moment to fill out the below application. Once I’ve received it, I will carefully review your responses for immediate consideration and suitability for the program. If I feel that we’d be a great team I will contact you with the next steps of the process and that would be setting up your Breakup to Level Up Intro Call with me!


Please ensure you answer all questions

✔️ Please listen to the application message.


✔️ Fill out the application in its entirety with trust + honesty.


✔️ Double-check that you’ve answered ALL questions.


✔️ Please allow 2-3 business days for an official response.


✔️ Let the Universe take care of the rest!

Program Application
Do you currently live with your partner?
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