Application to 8 Week Coaching Program With Jill

Change the way you see the world and your world WILL change.
When are you going to go all-in on YOU?
Your life isn't a dress rehearsal.
You've got 1 life to live, isn't it time you start living it?
You can still do that thing, lose that weight, gain more confidence, earn that income, change that job, find that guy, or do whatever it is your heart truly desires.
Yes, pick a crazy cool impossible goal.
Just decide.
It's time to separate the dreamers from the doers.
I am ready to take some passengers daring to change their current destination.
Then, fill out this application, and Let's GO!
If you are not serious about getting coached, or are dabbling in the idea of change and don't believe that your life can be different, or aren't truly invested in your growth or change.
No need to apply.
I am only accepting women who are desiring a change, are open to coaching, who won't argue for their limitations, will show up, and face their fears.
If it is you - This is step ONE! 
Fill out the application and submit it before all 10 spots are taken. 
I will be reviewing, evaluating, and interviewing the top candidates and contact you via email or phone.
I am only accepting 10 Women at this time. And listen, if you don't make it to the next round, that's ok, no today doesn't mean no the next time around.  This is a real commitment both from me and YOU. We will meet for 8 weeks, both 1-1. You will have access to my online Living Boldly Program as well as my coach web portal where all of your personal zoom coaching calls will be housed.  You will also have access to me for additional hot seat coaching if you join the group coaching zooms. In those zooms, we will do live coaching on anything that has come up that week as well as training to become your truest confident most authentic self.  
This is going to be epic and I cannot wait to work with YOU!

Let's GO!


Question 1 of 8

On a scale of 1-10, do believe you are living the life you desired or dreamed of when you were a child?

Only I will see your answer, but please be completely honest here. Putting a low number doesn't mean you have an awful life. It just means there is room for improvement. 

Question 2 of 8

On a Scale of 1-10 How committed are you to showing up to all the calls and doing the work to reach your goal.

Question 3 of 8

Have You Ever Worked With A Coach Before?





Question 4 of 8

Have you ever tried to reach this goal before?

If so, what would you consider to be your biggest obstacle?


Question 5 of 8

On a scale of 1-10, what is your level of believability that together we can reach this outcome?

Question 6 of 8

What Time Zone are you in.

Question 7 of 8

Are You Willing To Invest Time and Money to Create Your Desired Outcome?





Question 8 of 8

Please provide a current phone number so that I can follow up with a consultation call if you are selected.

Confirm and Submit