Own Your Magic,
Actualize Your Genius

Please note that your application may be reviewed several times by various Radically Aligned Life Leaders in the screening and matching process. Your information will never be shared outside of these individuals for any other purpose - ever.

This Mastermind is all about supporting you in reaching new levels of success, consciousness, and awakening your highest level of gifts while supporting you in expanding your message/impact in the world and in your business.

This program is designed by Deidre Sirianni, President of Radically Aligned Life Inc, TedX Speaker, Coach, Spiritual Guide and International Facilitator of Human Awakening and Impact Driven Entrepreneurship.

Date of submission to the Radically Aligned Mastermind:
Were you invited by a Radically Aligned Life Leader?
If so what is their name
Are you ready to begin?
Full Name *
Email Address *
Phone *
Current Address
City
State/Prov
ZIP/PC
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Please answer the following questions with the greatest detail possible:


1. Evaluating yourself currently, are you showing up as the best version of yourself? 
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2. Which specific life areas do you want to improve on through your Radically Aligned Mastermind?
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3. Rate yourself in terms of willingness and ability to give support to others in the Mastermind on a scale of 1-10.
4. Rate yourself in terms of willingness and ability to receive support from others on a scale of 1-10.
5. What is the experience you intend to create through participating in the Radically Aligned Mastermind?
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6.  What do you do for your Job/Career/Business? 
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7. Describe briefly your family and relationships:
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8.  What are you creating and what support do you require? 
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9.  Have you ever participated in a Mastermind group before? If so, which one and what did you gain from your experience?
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10.  Do you meditate and visualize? If so please describe your process:
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11. What are your spiritual beliefs and practices? 
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12. If you could choose the types of people to support you in your life, what would their skills, experiences and resources be?
Please Select One
  • Positive
  • Supportive
  • Creative
  • Kind
  • Understanding
  • Encouraging
  • Leader
  • Committed
  • Authentic
  • Fun
  • Courageous
13.  Are you willing to make this group a major priority in your life for the term of the agreement?
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14.  Please provide some details about what this group means to you and how it will be integrated into your life:
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15.  What is the distance that you would be willing to travel for some of our “deep dive experiences” like our EOY Retreat?
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16.  How do you want your life to be at the end of your first year in the Mastermind?  What would be different specifically?  
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17.  How will you measure the success of your Mastermind Experience?
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18.  What is your current annual income? 
19.  Are you ready to invest in yourself at this present moment in time in a year long program?
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20.  Please note any additional details that you believe will assist us place you in the correct group for you: 
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You will receive a confirmation reply from us within two-three business days.

Applying to join does not guarantee placement. If you are accepted into the Radically Aligned Mastermind you agree to pay the  total for the program, either paid in full or via a payment plan option.
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