Deep Dive Mindshift Accelerator (or Mind Expansion Plus) Program Application
Deep-dive Mindshift Accelerator Application
Thank you for your interest in the Bridgenosis® Deep-dive Mindshift Accelerator!
Laura is excited to learn more about you. Assuming you are a good fit for the program, Laura will send you a link to schedule a short complimentary call with her soon. This will allow both of you to interview each other to make sure this is the right space for your transformational change. Congrats on taking this step, which should only require 5 minutes of your time.
Organization (if applicable)
Position (if applicable)
Please check any that apply:
Other Leader or Professional
How did you learn about Bridgenosis? If by referral, please tell us who so we can thank them!
Are you interested in one or both of these programs?
Mind Expansion Plus
What are your top 3 goals for the Deep Dive Mindshift Accelerator Program?
What struggles or mental blocks are you currently aware of that are holding you back?
What is it costing you to NOT achieve your goals or remove your blocks? (time, money, relationships, business goals, family, health, happiness)
What have you already done to alleviate your struggles?
What are your best traits, strengths, and gifts?
Do you want us to send you a leadership development or stress reduction coaching proposal you can submit to your employer for reimbursement (or keep as a record if you are a business owner)?
Yes, my employer/business will likely reimburse it as leadership development/executive coaching.
Yes, my employer/business will likely reimburse it as stress reduction coaching.
Include an electronic invoice that my employer can pay Bridgenosis directly before we get started. (Electronic payment still needed.)
No, thanks. I don't need a proposal or separate invoice. I can signup online in your registration process.
Check all that apply.
Which of these are goals or obstacles you hope to reach or remove?
Increase confidence (overcome imposter syndrome)
Overcome public speaking fears, anxieties or nervousness
Increase focus & reach peak performance
Increase sales/investments/donors-be more confident when asking for money.
Quell your money and finance anxieties
Overcome anxiety and overwhelm
Scaling with confidence
Hire, retain, and delegate with confidence
Preventing & unraveling conflict or tension in a relationship or your organization
Make time for yourself while still performing your best.
Stay centered when encountering negative people
Stop ruminating over the past; overcome shame/blame; move forward; be present
Overcome fear of letting others down if not win or qualify big
Overcome fear of failure
Overcome over-empathy & say no guilt-free when boundaries are needed.
Cravings or weight issues
Chronic stress showing up as pain
Trauma and/or PTSD
What's your time zone?
When are the best times to reach you in the next week or two for a short interview to ensure the Deep Dive Mindshift Accelerator is the best Match for you.
Thank you for taking the time to share more about yourself and your goals. By completing this application, you are taking a big step towards changing your life. At this point, you are only showing interest in the program and are under no obligation to join or make payment. Before acceptance into this program, you will be requested to have a 15 minute interview with Laura to ensure a 100% win-win + perfect fit. You understand that if you are accepted into the program and decide to join and pay, you are committed to the program for its duration. By checking the box below, you agree to the terms above and submit your application for review. Laura is excited to meet you and will be in touch soon.
I accept the terms and apply for the Deep Dive Mindshift Accelerator Program.
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