Welcome!

Thanks for your interest in the HORIZONS Luminary Program.

This application is not a commitment — it’s the first step to explore whether this program is the right fit for your goals, mindset, and stage of business. I’ll personally review your responses and, if it looks like a strong match, I’ll invite you to a Discovery Call so we can connect and go deeper.

Please take your time with your answers — the more detail you provide, the better I can understand your business and determine the next steps to support you.

First Name

Last Name

Phone *

Email *

Your Business/Company Name *

Your Website URL / Social Link

Tell me about your business: who you serve, what you offer, and how long you’ve been in business. *

What is your current MONTHLY revenue range? *

What’s your big vision — where do you want your business to go in the next 3–5 years? *

What are your shorter term goals? — What do you want to accomplish in the next 12-24 months? *

What’s currently standing in your way of reaching your goals? *

Why are you specifically interested in the Luminary Program? *

Have you worked with a coach or consultant before? *

If you answered "yes" to the previous question, tell me about your experience.

What type of support do you feel you need most right now? (select all that apply) *

Is there anything else you'd like me to know as I review your application? *

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By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.