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Application
Happy Healers Alliance
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Email
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Your email
Name (First, Middle & Last)
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Your answer
Date of Birth
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MM
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DD
/
YYYY
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip
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Your answer
Cell Phone Number
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Weekly Availability to give energy to this work based on the scope of your role as noted in you Ambassador Packet:
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1 hour
2 hours
3 hours
4 hours or more
Other:
How many healing arts practitioners do you know (individuals that you know, and intend to invite)?
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Your answer
What is your Facebook Handle?
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Your answer
What is your Instagram Handle?
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Your answer
List your top 10 preferred states to focus on for the list of unknown healers that you will research and invite (note: the following states are already assigned: North Carolina, South Carolina, Virginia, West Virginia, Indiana):
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Your answer
By entering my first and last name below, I acknowledge that I have read the Happy Healers Alliance Ambassador Packet and fully understand, and agree to honor, its contents. I further acknowledge that I will be paid as a 1099 contractor for any and all honorariums/commissions and bonuses paid to me.
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Your answer
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