Mentorship Submission + Agreement Form

I am thrilled to begin working with you, and look forward to learning about all the dreams and ideas you're eager to explore. When I receive your submission form, I will send you an email confirmation with payment information, along with a separate email outlining terms and policies on scheduling, communication and cancellations. If you have any other questions regarding the mentorship agreement, just let me know!

After submitting the Mentorship Agreement Form, payment can be made right here.

Name *
Name
Address *
Address
http://
*Discounts are available on advance payments for three or more Mentor-by-the-Hour sessions.
I am familiar with Google Docs
Phone number, FaceTime number, Google+ profile name or Skype name
For our collaboration, I'm really eager for... *
Check all that apply.

After submitting the Mentorship Agreement Form, payment can be made right here.

Cancellation Policy

Full payment is required in advance. Once payment is received, refunds are only available before we begin working together (i.e. before our first phone call/video chat.)