Consultant Intake Form

Consultant Intake Form

Personal Information

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Would you like to be added to The Art of Applying mailing list for regular subscribers?
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Enter your phone number with area code.
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Mailing Address
Please provide your full mailing address.
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Country
Emergency Contact Policy Agreement
In the event that The Art of Applying® is concerned that Consultant is in danger or is in danger of harming someone else, Consultant authorizes The Art of Applying® to contact emergency services and/or Consultant’s Emergency Contacts, and to provide them with any appropriate information relevant to the situation, including releasing Consultant’s Emergency Contact information to emergency services. Consultant acknowledges that The Art of Applying® is not providing psychotherapy or mental health counseling and is under no legal duty to report.
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Educational & Professional Background

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Please include list of scholarships, fellowships/grants received and other educational experiences (i.e. law journals, research, etc.)
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Please include any minor/areas of concentration in addition to main degree program
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Please indicate whether the application was accepted, waitlisted or rejected. Also, include list of scholarships, fellowships/grants received and other educational experiences (i.e. law journals, research, etc.)
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Consultant Graduate Degree(s)
Select your graduate degree(s).
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Please include list of scholarships, fellowships/grants received and other educational experiences (i.e. law journals, research, etc.)
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Consultant-Client Reference Guide

Ex. Mondays, Wednesdays and Fridays – 8-10pm CST | Tuesdays and Thursdays – 6pm-10pm CST | Saturdays – 2pm – 5pm CST | Sundays – Not Available |
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Degrees you’d like to work with
Select your graduate degree(s).
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Best Fit Client
Choose at least 5
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Coaching Call Schedule

Which time blocks are you generally available for coaching calls on MONDAYS – THURSDAYS in Eastern Time?
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Which time blocks are you generally available for coaching calls on FRIDAYS in Eastern Time?
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Which time blocks are you generally available for coaching calls on SATURDAYS in Eastern Time?
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Which time blocks are you generally available for coaching calls on SUNDAYS in Eastern Time?
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