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Courage, Community, Kilimanjaro 2026 Application

Complete the form below and apply to be part of Courage, Community, Kilimanjaro 2026 in Tanzania. *Note that the official in-country program runs February 21 - March 8 2026*

First Name

Last Name

Email*

Phone*

Are you over the age of 18?**

Yes

No

How did you find out about this program?*

Which of these best describe your current situation?*

I am trying to figure out my next step in life.

I am seeking more purpose or meaning in my life.

I would like to step into my power.

I am looking to connect with a community of people.

Other

Share a little more about who you are and what you do in the world*

Have you done previous personal development work in the past?*

Yes

No

If yes, please share what programs.*

What makes you an ideal candidate for this program?*

*Note* The investment of the 3-month coaching program and 2-week Tanzania experience starts at $10,500 USD. If we decide it's a good fit, are you in a position to invest? (Scholarships are available)

Please verify your request*