SC Practitioner Application Form

Step 1 of 5: Let’s start with you.

Tell us how to reach you.

First Name *

What should we call you?

Last Name *

Email *

Where we can contact you about your application.

Phone

Include your country code if you’d like application updates by text.

By providing a phone number, I consent to receive any messages from Self-Concept Research Group. Frequency may vary. Message & data rates may apply. Reply OUT to opt out.

Country *

Step 3 of 5: What do you want to make possible?

What would you most like to make possible in your life over the next 12–18 months? *

Choose a meaningful goal in your career, business, relationships, health, or another area that matters to you.

What have you already accomplished or developed that you’re proud of? *

This could be a result, a personal quality, or a challenge you’ve worked through.

Where do you notice a gap between what you know you’re capable of and how you see yourself? *

For example, you may know your work is valuable but hesitate to become more visible.

What would you like to believe about yourself instead? *

For example: “I trust my judgment,” “I’m confident sharing my ideas,” or “I can set clear boundaries.” How would that change help you move toward your goal?

Step 4 of 5: Why now, and why this approach?

What have you tried so far, and what did you find helpful or unhelpful? *

This could include your own efforts, coaching, courses, books, or other approaches. No previous personal-development experience is required.

Why does this feel important to work on now? *

What has made it a priority rather than something to revisit later?

This is a skills-based mentorship with personal application, practice, and feedback. How does that match what you’re looking for? *

That’s what I want. I want to learn the skills and apply them.

I’m interested, but I’d like to understand the learning process better.

I’m mainly looking for someone to guide me through a specific change.

I’m not sure yet.

Choose one.

Step 5 of 5: Complete your application.

We’ll review your application once applications close.

As part of the application process, we process a $600 fully refundable deposit to hold your place.

If your application is approved, that pays for your first two months in Self-Concept Practitioner Certification™.

If your application is unsuccessful, or you have a simple change of mind, we will refund this to you 100% immediately.

Self-Concept Practitioner Certification™ Application

Step 1 of 5: Let’s start with you.

Step 2 of 5: Tell us a little about yourself.

Step 3 of 5: What do you want to make possible?

Step 4 of 5: Why now, and why this approach?

Step 5 of 5: Complete your application.

Self-Concept Research Group