Corporate Services Application
Corporation/Agency:
Address:
City, State, Zip:
Contact Representative Name:
How were you referred:
Google
LinkedIn
Living With Intention Website
Other/Business Partner
Please provide a little overview of what your company does and what services it offers:
Describe communities "pain points"
How may I best support the community?
How do you see wellness programing applied (i.e., weekly 1hr sessions) and received (what vitural portal) by your community?
Number of employees possibly in attendance:
Length of Wellness Programming
4 Week Intensive
8 Week Streamlined Focused
12 Week Extensive Offering Variety
***DISCLAIMER***
Wellness classes/programing are represented to support individuals/employee’s/communities to support emotional intelligence. Classes are to provide as guidance for individual’s/employee’s/community’s own interests and are not intended to “treat” or provide any form of counseling. April Wyett/Living With Intention LLC is not responsible for any participant’s behavior(s), mental health, or job retention while working within or outside of the wellness program.
Signed:
Date:
Privacy Notice:
No information about any client/business affiliate will be discussed or shared with any third party without written consent of the client/business affiliate.
Verification
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