Application for ACTion Team

Address *

Email *
example@example.com
Phone Number *

Area Code Phone Number
Where did you hear about coaching with Leslie? *
What is your profession? *

Performing Artist (Actor, musician, songwriter, etc) Writer Creative (Director, Creative Director, Producer, Choreographer, etc) Entrepreneur or wanting to be one Visual Artist (of any kind)
What program are you most interested in? *

Single Power Session Ongoing Monthly Coaching Wow Project Coaching Masterminds
What would you like to gain from the coaching process *

I'm super stuck and need to figure out what I really want I'm in a career transition and need help navigating the waters I have a project that I want to start or finish or bring to fruition I'm an actor and want a career coach I want to start a business, or already have one and want to grow, sell or expand.
Why is it important to you now? *
What has held you back in the past? *
What's your biggest challenge you face right now that you'd like to tackle in our coaching together? *
If you could have your "rockstar" dream come true this year, what would that be? *
Are you ready to invest personally and financially to a 3-12 month program to transform your career and your life? *

YES NO
When are you most reachable by phone? (also, in the "other" box, please put your time zone. EST, PST, etc. *

Weekdays between 9 a.m. and noon Weekdays between noon and 5 pm Weekends Evenings after 6 pm
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