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Name

First Name

Last Name

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Subject

Please select which style of coaching you're seeking.

Message

Please write a brief description about the work you're seeking assistance with (i.e. individual poems, residency applications, etc)

Desired Method of Meeting

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How Often Would You Like to Meet?

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Proposed Start Date of Coaching

Please select the date you'd ideally like to begin working together.

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Partnership Acknowledgement

I accept and acknowledge that both parties have the right to determine if working together is the best fit.

One-on-One Coaching Contact