Intake Form

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Intake Form

Thank you for your interest in Melanie Bates Consulting, LLC! Please complete the following intake form so we can learn more about your desired outcomes. You can view our engagement process here: https://bit.ly/mbcprocess. To learn more about MBC, please visit www.melaniebates.net or connect with us on social media via @melaniebatesllc.

What is your name? *

What is your email address? *

What is your telephone number?

What is the name of your organization? *

What is the mission of your organization? *

How many people work at your organization (including yourself)? *

Melanie Bates Consulting, LLC specializes in specific service areas. Which area(s) are you interested in? *

Local Government Relations (MBC helps clients draft legislation, prepare public testimony, and execute advocacy campaigns.)

Communications (MBC helps clients develop branding and messaging through collaborative exercises and dialogue, manage their social media accounts in order to maximize exposure and influence, and generate impactful email campaigns.)

Criminal Justice Reform (MBC helps clients research and draft best practices, conducts know your rights training sessions, participates in speaking engagements, and provides expert commentary.)

General Management Consulting (MBC helps clients with board governance, diversity, equity, and inclusion, event planning, and leadership development.)

Other:

Required

Melanie Bates Consulting, LLC utilizes value-based billing (i.e. flat fee per service type). Our packages generally start at $2,000. What is your total budget for this service? *

When would you like to start working with MBC? *

YYYY

Who are your stakeholders or target audience? *

How will you define success? *

How did you hear about Melanie Bates Consulting, LLC? *

Oakton High School Class of 2003 Reunion

Referral

Social Media

Internet Search

Previous Client

Other:

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