WISe Wellness Guild Preferred Partner Application
Thank you for your interest in joining our community. Ready to explore if you're a good fit? Fill out the application and we'll be in touch. The more details, the better.
Your Name:
*
Email
*
example@example.com
How did you hear about us?
*
What is the name of your Business
*
Business URL
Where are you located?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
What Pillar(s) of Wellness do you/your Business represent?
*
Food as Medicine
Women's Health
Career and Mental Health
Beauty & Lifestyle
Active & Travel
Other
If other, please describe.
Please provide an "About Section" of your business for our website if approved as a Preferred Partner.
Please upload photo(s) of your logo, headshot, business, etc. (what you would want to see on our website!)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have any Licenses and/or Certifications in your area of expertise (for applicable coaching)?
*
Yes
No
In Process of Obtaining
If yes, what License/Certification(s) do you carry?
If applicable, upload your License/Certification(s)
Upload a File
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Choose a file
Cancel
of
If you're a Coach/Wellness Practicioner, do you carry insurance for your practice? If "yes," please upload proof of insurance below. If "no," please explain why not (Don't worry if the answer is "no")
*
Yes
No
Not Yet
Proof of Insurance
Upload a File
Drag and drop files here
Choose a file
Cancel
of
I do not have insurance for my practice because:
Do you have Trustpilot or BBB certification? (preferable but not required)
*
Trustpilot
BBB
I do not have any business certifications
Other
How many years of experience do you have or years in business?
What is your Primary Focus?
B2B
B2C
B2B2C
How would you like to take advantage of WISe? Check all that apply
Advertising Business
Event Listings
Create Content
Keynote Speaking
Other
Help us learn more about you ...
How do you Identify?
Female
Male
Non-Binary
Prefer Not to Answer
Please describe in 20 words or less what brings you the most satisfaction personally or for your business:
*
If you had to choose only 5 key words to describe YOU, which would you choose?
*
Caring
Loud
Tough
Attractive
Unselfish
Instinctive
Disagreeable
Desired
Sincere
Strong Willed
Unhealthy
Skilful
Loyal
Clever
Determined
Independent
Thoughtful
Successful
Inventive
Greedy
Trustworthy
Honest
Calm
Fair
Dominating
Confident
Choosy
Strategic
Innovative
Creative
Helpful
Complex
Busy
Strict
Smart
Using no more than 10 words please state what annoys, irritates, or worries you the most currently about your business:
*
Now please choose only 5 key words to describe how ‘others’ would describe YOU.
*
Loud
Caring
Tough
Helpful
Attractive
Unselfish
Instinctive
Disagreeable
Combative
Sincere
Strong Willed
Unhealthy
Skilful
Loyal
Clever
Determined
Independent
Thoughtful
Successful
Inventive
Greedy
Trustworthy
Honest
Calm
Fair
Smart
Dominating
Confident
Choosy
Strategic
Innovative
Creative
Complex
Busy
Strict
What do you feel you need to develop to improve your business? (If you wish, state the level where you feel you’re at now).
*
What's your ultimate goal with your business?
*
Social Links
Please list your social links/handles
Instagram
IG Handle
Facebook
FB Handle
LinkedIn
LinkedIn
X/Twitter
X/Twitter
TikTok
TikTok Handle
Submit
Should be Empty: