Heal the Ages© Interview Application

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Tactful Disruption® is a strategic resource at the intersection of mental health and career development related to diversity and inclusion shortcomings. We operate as a digital mental health coaching and consulting practice addressing intersections.

Heal the Ages© is our eight-week signature program designed to support emotional wellness for creative and gifted adults interested in identity work.

We appreciate your interest in our special offer in collaboration with DRK Beauty Healing for the May 2024 peer coaching group. *If selected to participate you will be receiving participation details for required materials to participate.

Email *

Name *

First and last name

How did you hear about this opportunity? *

What are you hoping to understand about yourself through participating in this program? *

Tell me in 1 page where you currently are in life versus where you wish to be. You may include any details you feel it pertinent for me to know. (This information is at your discretion. Your submission is confidential and will only be discussed during your interview) *

Are you available for the entire program? (The program is only on Monday evenings from 6:00pm -7:30pm CST) *

Yes

Maybe

Other:

Required

Send me a copy of my responses.

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