7 Elite Mentorship Program Application – Forrester Wellness Solutions

Elite Mentorship Program Application

Confidential Candidate Questionnaire

Elite Mentorship Program Application – Confidential Candidate Questionnaire

Contact & Professional Details

First Name

Last Name

Email Address

Phone Number

Preferred Method of Contact

LinkedIn Profile or Professional Website Link

Current Role/Title

Organization/Practice

Industry/Sector

Years in Leadership or Executive Roles

Briefly describe your current professional scope and main responsibilities (2-3 sentences)

Motivation, Goals & Readiness

1. What has prompted you to pursue elite mentorship at this stage in your life and career? (150-300 words)

2. What are your top 2-3 objectives for the next 12 months—professionally, personally, and/or in health and wellbeing?

3. What would a successful mentorship experience look like for you? (Please share specific outcomes or changes you seek.)

4. Are there any pivotal moments, recent challenges, or transitions that have influenced your interest in this program?

Commitment & Fit

5. This program requires a 6-12 month commitment: regular virtual meetings, in-person intensives (when possible), and ongoing digital engagement. Are you able to prioritize this level of partnership?

6. Describe your capacity and willingness to invest time, focus, and resources in your personal and professional growth over the next year.

7. What are the most significant challenges or obstacles you currently face— organizationally, personally, or in health/mindset?

8. Are there specific health, wellbeing, or performance domains you’d like to address (energy, resilience, stress, sleep, etc.)?

9. How do you define leadership success for yourself? What legacy or long- term impact do you hope to create?

Spiritual & Values Alignment (Optional)

10. Would you like to integrate spiritual mentorship or faith-based guidance into your experience? If so, please share any relevant context, values, or desired outcomes.

Additional Insights

11. Is there anything else you would like Dr. Forrester to know about your background, aspirations, or reasons for seeking this level of partnership?

Sunday	11:00 am to 8:00 pm
Monday	11:00 am to 8:00 pm
Tuesday	11:00 am to 8:00 pm
Wednesday	11:00 am to 8:00 pm
Thursday	11:00 am to 8:00 pm
Friday	11:00 am to 3:00 pm
Saturday	Closed

Contact & Professional Details

Motivation, Goals & Readiness

Commitment & Fit

Spiritual & Values Alignment (Optional)

Additional Insights

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