Professional Development Intake Form
Please fill this out to schedule a discovery call to discuss professional development workshops for schools and organizations. Once complete I will reach out to schedule a discovery call. 
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Email *
What workshop(s) are you interested to learn more about? 
Are you interested in a live session or online session?
Site Primary Contact Person *
Title *
Email *
Primary Contact Number *
How many workshops are you interested in discussing at this time? *
Who will be attending the workshop? What grades do they teach or role do they fulfill at the site? (Check all that apply)
Why do you want to bring yoga and mindfulness into your school? How do you hope that this training will support your staff? *
Have there been any particularly challenging experiences in your school community or in the students' neighborhood recently (i.e. faculty turn over, violence in school or the neighborhood, new programs or testing procedures, etc.)?
Is there anything else that you would like me to know about your students, school or community so I can better serve your needs?
What days and times are best for a discovery call?
Morning (9am-12pm)
Afternoon (12pm-4pm)
Evening (4pm-7pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Anything you want to add
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