Contact Us

Suzanne Jacquot
707 953 3373

Grant Taylor
505 930 1810

Name *

123 Street Avenue, City Town, 99999

(123) 555-6789


You can set your address, phone number, email and site description in the settings tab.
Link to read me page with more information.

6 Days in 6 Months Application

We are excited that you are applying to  Living Your Wild Creativity Mentorship Program to be an integral part of your creative journey to fully express your heart's desire as your gift to the world. It is a big step, one that takes courage, trust and commitment.  We are right there with you, helping you brainstorm, staying inspired, encouraging your unfolding and providing professional help for we have been exactly where you are and have wanted a visionary to be along side, too. 

It will help us greatly to know a little about you and for you to actually put into words what you want to experience for these 6 months of playing, digging, delving and revealing your true potential.   We want you to be completely satisfied with your experience so it really helps if you give answers that are authentically true for you now.  You don't need to think too hard, just let the answers flow from your heart......

Once you have completed all the pages, email them to or mail them Suzanne Jacquot/Living Your Wild Creativity, PO Box 2515, Sebastopol, CA 95473. If you need additional assistance please email Suzanne at Once we have collected a maximum of 10 candidates that will work together well, we will set up dates.  Our goal is to begin the 2016 Mentorship as early as May and no later than September.  Please have your application in by mid April, 2016. 

**Applicants will be considered on a first come, first serve basis and once 10 spots are filled, enrollment will close.  So, if you are serious about our mentorship program, please send us your application as soon as possible.







Cell/Home Phone: 




What inspired you to apply for Living Your Wild Creativity Mentoring Program?





What do you hope to achieve?  The clearer your intentions are,  the more easily we can understand how to best help you achieve your goals.












What kind of Creativity are you currently involved in?




How long have you been interested in or actually doing your own Creative work?



Name a few things you are extremely passionate about.



List a few people who totally inspire you.  What about them inspires you?



What are some of the things that stop you making your work?




Where do you work? (Studio, garage, kitchen table, etc.) Does it feel adequate




List other Creative Workshops you have taken.





What other forms does your creativity take?







Do you sell your art or art services?


Have you ever shown in galleries, done performances, had venues to get your Creativity seen by others?


Do you consider your Creativity your profession?  What role does your Creativity play in your Life?



How often are you able to make your art?



Would you like your Creativity to be more seen, heard, and bought?


Would you like help in marketing yourself as a Creative?


Are you active on social media? If so, how?




Do you have a vision of where you would like to be and what you would like to be doing with your Creativity in the next five years?


What, if any, are your financial goals for your Creative endeavors?



Is there anything you feel you need to give up in order to have amazing success in your Creativity?



If you could wave a magic wand and change 3 things about your creative path (or your life) what would those 3 things be?




Is there anything else you’d like us to know in considering your application?


Print Name:








We are grateful for your interest, honesty, and authenticity in completing the LIVING YOUR WILD CREATIVITY MENTORSHIP application. You have taken a big step forward in your commitment to fulfilling your true Creative Vision. We are excited to review your application and may potentially schedule a private interview to complete the application process. We believe this will be an amazing experience for you!





Subscriber Login
Welcome, (First Name)!

Forgot? Show
Log In
Enter Member Area
My Profile Not a member? Sign up. Log Out