This is the application form for 1:1 coaching with Samantha Siffring. Fill it out, hit submit, and then I'll reach out to schedule a time for us to talk about if it's a good fit.
Click the button below to start the form.
Question 1 of 9
What is your name?
Question 2 of 9
What is your email address?
Question 3 of 9
Please share any links that can help me learn more about your business (website, social media, etc):
Question 4 of 9
Tell me a little bit about your business...
(What do you do? Who do you work with? How do you work with them?)
Question 5 of 9
What was your business revenue in 2025?
Question 6 of 9
What are your business goals in 2026?
Question 7 of 9
Why do you want to work with me?
Question 8 of 9
My 1:1 coaching package is 6 months and you get 3 sessions per month + private Slack channel. The investment is $1000/month, or $6000 in full.
If we are a good fit to work together, are you prepared to make this investment?
Question 9 of 9
Is there anything else that you want me to know?