Application Form

Life@Work Coaching
or Wisdoms@Work Online

I am delighted you are applying! Please take some time with this application as a way of introducing yourself. Then we will have a short interview on Zoom. I look forward to it. Please fill out the form and submit.

Name (required)

Date of Birth



Home Phone

Mobile Phone

Work Phone

Email (required)

Are you applying for Life@Work Coaching or Wisdoms@Work Online?

What education and professional training have you had? Please list any professional degrees and certificates.

What is your current job/role?

What do you most enjoy at work?

What is most challenging?

What changes or outcomes in your personal or work life would you like to see as a result of our work together?

Please share your experience with and current relationship to mindfulness or spirituality. Do you currently have a spiritual practice? If not are there practices or a path you are exploring?

How did you find out about Wisdoms@Work?

Do you have any questions for me?

Please sign up for an interview at

Please sign up for an interview at