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Consultation Interest Form
Thank you for your interest in working with us! Please fill out this form to get started.
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* Indicates required question
Name (including pronouns)
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Your answer
Email address
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Your answer
Have you taken our Embodying Antiracist Allyship workshop and/or course? (select all that apply)
Workshop
Course
Neither
We strongly recommend that you take our *free* Embodying Antiracist Allyship Workshop before booking a consultation. This will help you get a sense for our approach and how it might fit with your needs. Sign up for the workshop at the link below.
https://www.eventbrite.com/e/222158972467
Who are you consulting on behalf of? (select all that apply)
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Myself
My workplace
My family
Another community/group/organization that I am a member of
Other:
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Briefly describe why you are interested in consulting with us. What are you dealing with/growing through? What are you hoping to gain from this consultation?
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Your answer
What days/times generally work best for you to schedule a consultation? (include time zone)
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Following the chart below, what sliding scale category is most appropriate for you currently?
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Anything else you'd like to add/ask/clarify?
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