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Educator Submission Form
Please complete the following application form, and our team will review and get back to you as soon as possible!
Contact Information
Full Name:
Email:
Phone:
Social Media Handles
Please enter full URLs for the following media accounts
Instagram:
Facebook:
Website:
Youtube Channel:
Please write a little about your potential offerings:
Any certifications, accreditations, qualifications, etc.:
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How many hours are you hoping to utilize the platform for, per week?:
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5 hours
10 hours
15 hours
20 hours
25 hours
30 hours
35 hours
40 hours
Please share a
Fun fact about you:
Something that never fails to make you smile:
Personal pronoun preferences:
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A 3 minute video explaining why you choose to work in wellness:
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