Golden Thread Provider Application
By submitting this form you are giving permission to Petree Consulting Inc. to add your organization to the Golden Thread Network. As a member of the network you will be sharing survey scores derived from those surveys mentioned in the Golden Thread Provider fact sheet. You will remain a member of the network until you submit this form with the "Remove program/consultant from the Golden Thread" checked upon submission. (Please email
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Golden Thread Provider Fact Sheet:
Golden Thread Whiteboard Animation:
Type of applicant
Program or treatment provider
Educational consultant or other professional referent
Authorized representative: First & Last Name
Authorized representative: Email Address
Add program/consultant to the Golden Thread
Remove program from the Golden Thread
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