WellBEing Resource Partner Application*:
Thanks so much for your interest in being part of WellBEing! The purpose of this application is to allow us to understand your offerings, vision, and interests. 

*Please note that filling out this form carries no obligation.

We are now reserving space for our 10th annual edition. After receiving your form, we'll get in touch to learn even more about you, answer any questions you may have, determine if there is a good fit... and move forward from there!

Thanks again for taking the time to reach out ~ I look forward to connecting with you very soon!

Jill Bernard, Publisher
WellBEing Resource

Sign in to Google to save your progress. Learn more
Your Full Name: *
Business Name:
Phone Number: *
Email Address: *
Preferred method(s) of communication: *
What services and/or products do you offer? *
Applicable trainings/certifications:
Please list one (or all) of the following: Website Address, Facebook Page, Instagram Handle, LinkedIn Profile: *
Where do you conduct business? *
Why are you interested in being part of WellBEing Resource? *
Have you previously been part of WellBEing Resource? *
Please Check All Applicable Promotional Interests Below: *
Regarding WellBEing mixers/gatherings, check applicable interests:
If you were referred by someone, please share who:
Feel free to share any additional questions or comments you may have below... and thank you!
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy