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Golden Thread Provider/EC Application
By submitting this form you are giving permission to Petree Consulting Inc. to add your organization to the Golden Thread Network. As a member of the network you will be sharing survey scores derived from those surveys mentioned in the Golden Thread Provider fact sheet. You will remain a member of the network until you submit this form with the "Remove program/consultant from the Golden Thread" checked upon submission. (Please email
mike@remoteresearchdirector.com
with questions)
Click here for more information:
Golden Thread Provider Fact Sheet:
https://docs.google.com/document/d/1eSGT8gnTWP0bGFUQYLVeIrHwWMnitA2txdA0ivzrK6k/edit?usp=sharing
Golden Thread Whiteboard Animation:
https://www.youtube.com/watch?v=05ln6aMiFpo
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Program Name
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Type of applicant
Program or treatment provider
Educational consultant or other professional referent
Other:
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Authorized representative: First & Last Name
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Authorized representative: Email Address
Your answer
Add program/consultant to the Golden Thread
Remove program from the Golden Thread
Other:
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