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Congratulations,
you Brave Woman

Applications are open for 2025.

Welcome you beautiful woman.

It’s a pleasure to welcome you to this space.

Please make sure you have read the program overview before you fill out this form.

After filling out this form, book in a call to get to know each other and get the full details about how our program will run.

This is going to be beautiful. Big love.

First and Last Name*
Email address*
Enter Email Confirm Email
Phone number (with international code like +61...)*
Date of birth*
MM
DD
YYYY
City and Country (Ex. Sydney, Australia)*
Tell us about your main intention in joining this program.
Tick the boxes that best describe your status:
- I am employed part or full time
- I am a freelancer / entrepreneur / contractor
- I am a student
- I have the financial means to pay for this program
- I am only able to do this program with a scholarship
To better understand your emotions, body, and hormones, tick the ones that apply to you:
- I am taking birth control pills
- I have a IUD (intrauterine device)
- I've had children
- I am currently in a serious relationship
- I have or have had diagnosed anxiety or depression
- I have had body image disorders (such as anorexia, bulimia)
Describe any inner work you might have done before or are currently doing such as therapy, coaching, spiritual practices, meditation etc. (Write 'none' if this is your first time)*
Have you read the program information and pricing?*
- Yes, I am aware of the time commitment & pricing
- Not fully, I would like more information
Email
This field is for validation purposes and should be left unchanged.

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At The Self Academy, we’re changing the world, one Self at a time. Our mission is to foster self-awareness, emotional intelligence, and personal growth. This is where you learn what nobody taught you—the life-changing skills that bring you back to your power. Our epic programs, resources, and events guide you to reconnect with your authentic self, build strong relationships, and make a positive impact. Join our soulful community and continue your journey towards a more conscious and empowered you.

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