DATE: ____________________
NAME:_____________________________________________________________
HOME PHONE:______________________SS#____________________
SYSTEM PHONE:____________________________________________________
ADDRESS:__________________________________________________________
CITY & STATE:_________________________________________ZIP:___________________
E-Mail Address (if you have one):____________________________________
MARK THE AREAS OF INTEREST/EXPERIENCE:
TAROT_____ RUNES______ASTROLOGY_____CRYSTALS_________
OTHER:(EXPLAIN)___________________________________________________
HEALING: (EXPLAIN)___________________________________________________
EXPERIENCE: READINGS, TELEPHONE, FAIRS, ETC:
DATES: COMPANY NAME
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
LIST THREE REFERENCES/INCLUDE PHONE NUMBERS
____________________________________________________
____________________________________________________
____________________________________________________
Are you currently a professional counselor? YES_________
NO________
Do you have clients who seek your advice and pay for
your services? YES_____ NO_____
What licenses, degrees or certifications do you hold?_________________________________
______________________________________________________________________________________
How do you describe yourself to clients? (i.e. psychic,
clairvoyant, astrologer, tarot reader, etc.)
________________________________________________________________________________
Do you have specialized training? Please be specific.____________________________________
____________________________________________________________________________________________
Do you have experience reading for clients over the phone?
YES______ NO______
Please describe:____________________________________________________________________
Upon receipt of your application, contract and other
forms, we will contact you for a reading/discussion of your areas of expertise
and we can discuss any questions you may have at that time. We look forward
to speaking to you in the near future.
Thank you very much,
The Staff@ Spirit Connection