JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Creative Helper Directory Application Form
Are you in the business of serving others? Do you use creativity or nontraditional approaches for helping and healing? Do you offer a service that can complement someone's personal journey? Interested in being featured in a directory of creative helpers?
I am looking for creative professionals dedicated to others.
Answer the questions below and a member of the team will get back to you with follow-up questions or notifications.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Name (as you would like it to appear in the directory)
Your answer
Email and or phone (not to be shared) used for follow-up and notifications
*
Your answer
Tell me about your creativity. What makes you creative personally and or professionally?
Your answer
Tell us about how you serve others. What is the business(s) or service(s) you would like to have in the directory? (e.g. Counseling, Reiki, Yoga, Human Design, Coaching etc.).
*
Your answer
Where do you work (online or provide city and state) Who are your services meant for? For licensed professionals, what states are you licensed in?
*
Your answer
Please provide links to websites and social media for your business. If you do not have a website, please write N/A
*
Your answer
Here is an example of how the directory entries will appear
Please complete the directory template exactly as you would want is displayed. The answer will be used 'as is' for the directory entry. If this potion is not completed your entry will be created by our team or omitted.
*
Your answer
Please e-mail the picture you would like displayed in the directory to
bri@thecreativecc.com
along with your name. If we do not receive an image you entry will include an image of our choice or no image at all.
bri@thecreativecc.com
Do you consent to having your business information and responses from this form shared on social media and on The Creative Complement Company's website?
*
Yes
No
Would you be interested in being a guest on a podcast to talk about creativity and healing?
*
Yes
No
Maybe
Tell me anything else.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Creative Complement Company.
Report Abuse
Forms
