Name *

First Name

Last Name

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What prompts you to seek one-on-one coaching with Dr. Cleveland? (check one or more): *

I am seeking an embodied vocational fidelity. I want to cultivate deep and sustainable integration between my liberation values and vocational practices/pursuits.

I desire strategic and holistic support as I navigate white supremacist/colonial individuals and/or structures in their vocational world.

I desire a shame-free hush harbor space where I can boldly identify the plantains in my vocational world, lovingly confront my fears, and practice empowering liberation tools.

I am managing an acute workspace crisis and am seeking a strategic, shame-busting, and fear-dispelling pathway through it.

I am constantly vacillating between wanting to burn everything down and acquiescing to “The System” – and I am tired.

I desire to nurture my moral courage so that my specific vocational actions are aligned with my equity beliefs.

I am at a vocational crossroads and desire an abundant, liberation framework through which to discern my next steps.

Other

At least 72 hours in advance of your first session, Dr. Cleveland will send you 3-5 personalized questions to support you in identifying and clarifying your needs and goals for your time together. Are you willing to commit at least 30 minutes to processing your personalized questions prior to the first session? *

Yes

No

Session spacing: Most multi-session clients have "homework" after the first session that supports their integration of the first session and maximizes the subsequent sessions. In order to enable clients to fully and spaciously engage the homework, Dr. Cleveland schedules bi-weekly and/or monthly sessions. Does this general meeting schedule work for you? *

Yes

No

Which coaching package best fits your professional development budget and needs? *

One 60-minute session - $350

Three 60-minute sessions - $1000 (Our most popular package)

Six 60-minute sessions – $2000