Collective Membership Application

Thank you for your interest in joining the Limitless Collective!

Please complete this application in its entirety. All applications will be reviewed by Limitless Integrative Wellness management. Incomplete applications will not be considered. Submission does not guarantee membership.

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Full Name *
Business Name *
Phone Number *
Email Address *
Website and Social Media Links (if applicable) *
Profession/Title *

Years of Experience 

Areas of Specialty

Brief Description of Your Services:

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Are you currently operating full-time, part-time, or by appointment only?

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Required

Do you carry professional liability insurance? (Professional Liability will be required to be a collective member of Limitless)

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Required

Why are you interested in joining the Limitless Collective?

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How do you envision contributing to the Collective community?

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Are you interested in leading or participating in workshops, events, or collaborations? (Please elaborate in 'Other')

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Required

Are you willing to uphold the values and professionalism expected at Limitless Integrative Wellness?

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Required

Are you willing to abide by the Limitless Integrative Wellness policies, procedures, and expectations as outlined in the Collective Membership Handbook (provided upon acceptance)?

*
Required

Acknowledgment

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that submission of this application does not guarantee membership and that membership is contingent upon review and approval by Limitless Integrative Wellness management.

*
Required
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