Ready to engage in a mentorship together? Please tell us a bit about yourself so we can hop on a quick, FREE 15 minute intake call.

We receive a lot of applications, but you are important to us. As a reflection of that, we will get back to you as soon as possible.

Please complete the confidential form below to be added to the waiting list. When we receive your application, we will send you a link to schedule a FREE 15 minute consultation call with Azalea!

Thank you for your patience with us and for offering space in which this very important work can be done. 🙏🏾

Mentorship Application

Name

First Name

Last Name

What offering are you interested in?

Please select all that apply.

Single 1 Hour Session

Monthly Mentorship

6 Hour In-Person Session

Not Sure Yet!

If you are interested in the 6 Hour In-Person session, please specify details.

Can you come to Mexico? Where you are located if you want Azalea to come to you? Etc.

Do you exercise?

Do you have a meditative practice?

yoga, meditation, journaling, etc.

Please list history of mental health.

depression, PTSD, anxiety, autism, etc. Self diagnosis is okay here.

Are you currently taking any prescriptions or medications? Please list below if so.

Why are you interested in this Mentorship?

What are your Intentions with this mentorship? How can Azalea be of help and service to you here?

Why would you like to work with Azalea?

Please share anything else you would like to share with Azalea.

Would you like to be added to Vibrational Healing's email list (NO SPAM) to receive weekly reflections, psychedelic news, priority sign up for community events, and so much more!?