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* 1. Full Name, Email Address and/or phone number) NOTE: If you do not include email and/or phone number I will not be able to follow-up with you.

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* 2. Current City/State

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* 3. Current Job/Career/Occupation/How you spend your time

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* 4. Tell me about the dreams and goals you would like to achieve:

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* 5. How long have you been hoping, dreaming or struggling to reach these goals & why is right now the time to work on these goals?

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* 6. What's been holding you back from reaching these goals?

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* 7. What are some things you've tried that have not worked and/or some things you've tried that have brought some limited success towards this goal but not the level of success you dream of?

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* 8. On a scale from 1 to 10 how motivated are you to make changes to reach this dream/goal? 10 being very motivated.

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* 9. Are you currently signed with an agent/s, creating self taped auditions at home, or driving to in person auditions?  And if no are you ready and able to actively audition, attend casting calls, and have reliable transportation to jobs booked if we secure you representation?

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* 10. Thank you for applying to work with Kristin Bauer-Gross in her signature private coaching program for models and actors.

I understand private coaching is a four figure investment but feel ready and excited to get started or level-up my modeling, acting, influencer, public figure, as a full time career, part-time endeavor or for supplemental or retirement income. 



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