Unconventional Collaborative Application
Apply to join us + elevate your practice
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Email *
Name *
Please list all social media handles. (ex: IG: @yourname, Tiktok @yourname, etc.)  *
Please list your qualifications/designations *
ie: physician assistant, RD, MD/DO, nutrition coaching (or other) certifications
What is the name of your business or where do you currently work? *
Please note: being a business owner is NOT a requirement to join the collaborative.
How many years have you been in practice?
Tell us about your professional journey.  *
ie: how you ended up as a business owner, your values, where you've worked.
What services do you provide/what problem do you solve for your clients? *
Where do you see yourself professionally in the next 5 years?
If comfortable, please share your own personal health journey. 
ie: what is your current view of being a healthy human + how has that evolved over the years
How do you prioritize your own health? *
What are some of your favorite health + wellness products? *
ie: brands, supplements, skin care, food/snacks, etc.
What are some of your favorite books related to your profession? *
What are your top 3 podcasts? (if not a podcast listener can write "N/A") *
Who are some of your favorite educational IG followers or individuals you look up to in your space/profession? *
How interested are you in joining unconventional collaborative?
Eh.
I've been looking for something like this!
Clear selection
Why do you want to be part of a collaborative?  *
What would you like to see offered in this group?
What did we miss? Let us know what questions you have, we are building this collaborative FOR YOU!
Were you referred by anyone? If so, who? (we love to give credit where credit is due!) 
THANK YOU + NEXT STEPS!
Thank you for applying!  If you are a good fit we will reach out via email + also instagram DM so make sure to keep an eye out over the next week! 👀
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