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IAB Consulting LLC Request Forms
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Email
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Your email
Full Name
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Email
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Best number to reach you:
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Company/Organization Name [If no separate name, write same]
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How did you hear about us?
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Direct Recommendation
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Previous Service/Repeat service
Tentative Program Location
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Tentative Date of Program:
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Tentative Time of Program:
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Estimate Number of Attendees
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Target Audience?
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Budget:
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Payment Terms:
Payment within 15 days
Payment on day of Service
Prepayment
Other:
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Payment Options:
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EFT
Required
Services Requested [Check all that apply]
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Consultation [note below]
Quarter Day Training/workshop [3 hrs]
1/2 Day Training/workshop [4hrs]
Full Day Training/workshop [6-8 hrs]
Key Note
Workshop [Up to 2 hrs]
Guest Speaker/Appearance/Pod Cast
Other:
Required
Consultation Sessions Requested
1 hr
2 hr Pkg
5 hr Pkg
10 hr Pkg
Monthly Packages
Other:
Consultation Topic
*
Case Consultation
Mental Health Program Development
Trauma Informed Practice/Organizational Development
Implicit Bias
Private Practice [Individual or Group]
Collective and African Centered Practice
N/A
Other:
Required
Training Topic:
Check all that apply
*
Mental Health
Trauma 101
Group Therapy
Implicit Bias
Anti-Racism
Trauma informed Assessment and Treatment Planning
Child Abuse
Domestic Violence 101
Assessment, Diagnosis & Treament Planning
Leadership Training
Grief
Wellness with Crafts
Wellness with Movement
Healthy Living
African Centered Healing/Holistic Healing
Assertive Communication
Change Process [Organizational, Culture, Human Services]
Other:
Required
Key Note| Consultation| Presentation
Guest Speaker| Workshop Topic
If not listed above, what are your custom needs or provide more details if needed.
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Platform
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In Person
Virtual
Hybrid
Location
[if in person]
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Within Mecklenburg County
Within NC
Within US
Other:
Location Details if outside of Mecklenburg County
[if in person]
Travel Fees will be assessed
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Thank you for your request. We will Contact you shortly to discuss pricing and/or send an agreement/contract.
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