Self Clarity Accelerator Application

First Name *

Last Name *

Contact Number (with International Code) *

Email Address *

City *

Country *

Describe your current professional situation in 2–3 sentences. What’s working? What isn’t? *

Have you done any inner work before: coaching, therapy, meditation, retreat, or similar? If yes, what did you take from it? If no, what is drawing you here now? *

What made you apply for this programme rather than a more conventional leadership option? *

What do you most want to be different about how you operate by the time this programme ends? Write the answer you would be slightly embarrassed to say out loud. *

Can you commit fully to the program from January - April 2027, including 4 days in Portugal in February? *

Is there anything else you would want to share or ask before we proceed?

Travel Authorisation: Do you have necessary travel authorisation or are able to get the travel authorisation to travel to Portugal? *

Do you need any special assistance during any stage of the program?

I understand that filling this form doesn't guarantee my acceptance to the programme. The acceptance is totally based on my interaction with the programme organisers and their decision is final

I consent to Self Clarity collecting and processing my personal data for the purpose of evaluating my application and contacting me about my enquiry (lawful basis: consent, Art. 6(1)(a) GDPR). I understand I may withdraw this consent at any time by emailing privacy@selfclarity.org. All information is held in strict confidence and will never be sold or shared with third parties. By submitting, you agree to our Terms of Use and Privacy Policy.

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