Apply Now

Welcome to the next chapter of your life where you get to step into your power and create the love you've desired. Are you here to apply for mentorship with Jeanine and The Art & Science of Relationship? *

Yes

First & Last Name *

Email *

Phone *

** I want to build my self awareness and create the love I've wanted with a good man

**I am ready to learn scientific strategies (not magic or manifesting) that will position me to better understand the people around me and make educated choices in my pursuit of love

**I am willing to take control over my love life so that I can build the relationship of my dreams

** I am an action taker that will follow through and take the time out of my schedule to create what I want in my life

This is Me

YES

Anything is possible in the next six months, what do you want? Be as specific as possible with your top 1-3 priorities *

What is working in your life that supports you in this vision? *

What is slowing you down or getting in your way?

Do you have any prior experience with behaviorism or psychology education? If so, please describe your knowledge. *

What have you done up to this point to solve your relationship challenges? Other programs? Therapy? Other sources? *

Why do you want mentorship right now?

Why, specifically, do you want to be mentored by Jeanine?

If you feel that working with Jeanine and The Art & Science of Relationship is a good fit for you on the call, would you be willing (and able) to invest in our program? *

Yes- I have the cash flow to invest in myself.

Yes - I may or may not have the cash on hand but I can get resourceful and/or have access to credit

No- My cash flow is month to month and I have no access to credit

On the following page you will be able to schedule a call with Jeanine... Will you 100% be able to make the time you choose? We do not reschedule no-shows. *

Yes - I give my word I will be there

Maybe - I'm not sure if I'm serious