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 www.detoxifyingthesoul.com , www.nurturingnuggets.net www.fellasofgod.com 
HMI Mentorship Application
​First Name 


Last Name


Address


Email address


Phone Number



When would you be able to start the 12 week Mentorship Program? (Please indicate a date)



Please indicate in the below, why you would like to participate in our 12 week Mentorship Program?


















What areas of mentorship may we assist you with?




Are you wanting online mentoring (Skype or Face-Time is required) or mentoring in our Kansas Headquarters?

Thank you for your interest in our mentorship program, someone from HMI, will contact you after your application has been reviewed. We look forward to meeting with you.