Contractor Interest Form

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bio

Please provide a short bio (800-1000 characters) for our website.

Certifications, Trainings, Expertise and Experience

Services You'd Be Interested in Proving

Please note which services you'd be open to providing. For each services, there will be a conversation and/or training on how we approach each service, along with support in enhancing your skills.

Profile Debrief

Values Elicitation/Alignment Call

Emotional Balancing Session (MER)

Breakthrough Session - Includes 3 follow-up sessions

Leading Trainings/Workshops

Daily Accountability Coaching

Coaching 1:1

Coaching Group

Open to other opportunities

Compensation (USD)

Please let me know at what rate you would like to be compensated. While we do not bill at an hourly rate, I have an idea what each service will take and will use these rates to estimate your cost/service.

Minimum Hourly Rate(Required)

In some instances, I need to make special deals with clients where I will be covering the cost out of the company funds. In these cases, minimum hourly rate may be reviewed in selecting contractors.

Standard Hourly Rate(Required)

This is your starting/standard hourly rate.

Desired (Goal) Hourly Rate(Required)

This is the rate you are working towards or would desire to eventually be at.

Headshot

Max. file size: 256 MB.

Please download and fill out these forms

W9 Form
Direct Deposit Form

W9 & Direct Deposit Forms

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Max. file size: 256 MB.