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Sign-up Form: Wor(k)ld Readiness
Complete the following information and someone from our team will reach out to you.
Time to complete: Approximately 7 minutes
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What is your first name?
(example: John)
*
Your answer
What is your last name?
(example: Doe)
*
Your answer
What is your email address?
(example: info@fit4youwellness.com)
*
Your answer
What is your phone number?
(example: 504-644-0433)
*
Your answer
What time frame should someone from our team call you?
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ASAP
Morning
Afternoon
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Are you interested in these services for?
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Yourself
Staff
Customers
Both staff and customers
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Are you interested in scheduling a free 30-minute virtual consultation?
*
Yes
No
Undecided
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Preference 1: If you are interested in scheduling a free 30-minute consultation, please select a date and time below. You will receive a confirmation via phone call or email.
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:
AM
PM
Preference 2: If you are interested in scheduling a free 30-minute consultation, please select a secondary date and time below. You will receive a confirmation via phone call or email.
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DD
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YYYY
Time
:
AM
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Questions or Comments? (optional)
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You have reached the end of this form, thank you! For your information, some scholarships are available to qualified candidates. To see if you qualify, complete the following form.
Scholarship Application
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