Application- Practitioner Membership (2)

Application- Practitioner Membership

Our mission at The Wellness Consortium (TWC) is to nourish and nurture a vibrant community of wellness practitioners, educators and students committed to enriching individual and collective well-being. We believe in the transformative power of diverse wellness modalities to inspire personal growth, foster connection, and support holistic health. Through collaboration, education, and shared resources, we aim to empower our members to be catalysts for positive change, enriching the lives of those in our community and beyond.

Thank You for Interest in The Wellness Consortium community! We seek dedicated teachers and wellness practitioners who are passionate about promoting wellness through a variety of modalities. Please complete the following form to apply as a practitioner at The Wellness Consortium.

Full Name

Email Address

example@example.com

Phone Number

Format: (000) 000-0000.

Website if applicable

Wellness Modality/ Expertise (e.g.: yoga, meditation, nutrition)

Years of Experience

Current Certifications or Licenses Held if applicable

Are you currently insured with Professional Liability Insurance? 1) Yes, I have active insurance. 2) No, but I am willing to obtain it. 3) No, and I would like more information on obtaining insurance.

Do you agree to provide proof of insurance upon approval? 1) Yes 2) No

Do you agree to sign the TWC Hold Harmless Agreement upon approval? 1) Yes 2) No

What amount of time do you require for your session

Wellness Philosophy and Community Impact

Why are you interested in becoming a member of TWC and what would you like to bring to our community? (Feel free to include any unique skills, perspectives, or ideas)

Mentorship Program

Are you interested in receiving information about our Mentorship Program? 1) yes 2) no

Next Steps Once you have completed the application: The Wellness Consortium will assess your submission and reach out to you within 7-10 business days. Approved applicants required to provide a signed contract as agreed upon by both parties, proof of insurance, and sign a Hold Harmless Agreement before hosting any sessions and/or classes. If you have any questions, please contact us at TheWellnessConsortium@gmail.com