top of page

Work With Staci
- Consultations & Aura Camera Readings
- Business Doula Program
Wellness Directory
Radiate Light Guild
Events & Retreats
About
Blog
Contact
Radiate Light Collective

RADIATE LIGHT APPLICATION FOR:

Business Doula Program

One-Time Payment of $1111 (Pay-In-Full)

AdobeStock_183544988_ForWeb (2)_edited.jpg

Business Doula Application

One-Time Payment of $1111

First Name*

Last name*

Business Name (if applicable)*

Email*

Phone*

City & State*

Website/Social Links*

Tell us about your work & calling.

How would you describe your business (idea) right now?*

Still In The Ideation Stage

Early/Emerging

Established but Evolving

In Transition or Rebuilding

What services are you currently offering (if anything)?*

How long have you been in this work/business?*

What drew you to this Business Doula program now?*

What feels unclear, heavy, or misaligned in your business at this moment?*

What kind of support are you hoping for?*

What feels most challenging right now?*

Clarity

Pricing of Services

Established but Evolving

Boundaries

Visibility

Consistency

Confidence

Structure/Systems

How do you currently feel about receiving money for your work?*

What has felt hard or painful in past business experiences?*

If this program supports you well, what would feel different in your business by the end?*

What would success look like in your body, not just on paper?*

What kind of support resonates most with you (gentle guidance, reflection, accountability, nervous-system aware pacing, etc.)?*

Is there anything you feel I should know about you before we begin?*

Do you understand that this is not therapy, legal, or financial advising, but a supportive, integrative business container?*

Yes

No

Is there anything else you’d like to share about yourself, your work, or why this matters to you?*

Legal Consent, Financial Agreement & Annual Commitment

By enrolling, you agree to:

• A 5-month energetic and financial commitment

• You are agreeing to a one-time installment of $1111

• All fees are non-refundable & non-transferable

• Missed payments must be resolved within 5 business days

• Visibility & promotions are offered as opportunities—not guarantees

• Membership may be revoked for ethical or community violations

By submitting this form, you consent to these terms and acknowledge your digital signature.

Next, you’ll recieve a confirmation email that we have recieved your application. A Radiate Light representative will reach out shortly with next steps.

Explore

Wellness Directory

Consultations and Aura Camera Readings

Business Doula Program

Events & Retreats

For Practitioners

The Radiate Light Guild

Radiate Light Collective

The Radiate Light Collective

2819 100th Street, Suite 1

Urbandale, IA 50322

O / 515-707-7780

E / staciallison@radiatelight.org

© 2026 Radiate Light LLC

bottom of page