Practitioner Candidate Application

1
Legal Name* This field is required.
First Name
Last Name
2
Spirit Name/Preferred NameOptional
3
Email* This field is required.
example@example.com
4
Phone Number* This field is required.
Please enter a valid phone number.
5
Business Name* This field is required.(if applicable)
6
Business Website* This field is required.Paste your website url
7
Business Social Media AccountsInclude all that apply
8
Usage Type* This field is required.For what types of sessions will you use the small rooms? (check all that apply)
Private One-on-One Readings/Healings Only
Intuitive Showcase Readings Only
Both One-on-One Readings/Healings and Showcase Readings
9
Modalities/PracticesTell us about the type of modalities you use in your healing or reading services
Please Select
Please Select
less than 6 months
6 months - 1 year
1-2 years
2+ years
5+ years
How long have you been working with this modality?
Please Select
Please Select
less than 6 months
6 months - 1 year
1-2 years
2+ years
5+ years
How long have you been working with this modality?
Please Select
Please Select
less than 6 months
6 months - 1 year
1-2 years
2+ years
5+ years
How long have you been working with this modality?
Please Select
Please Select
less than 6 months
6 months - 1 year
1-2 years
2+ years
5+ years
How long have you been working with this modality?
10
Reiki Disclaimer - for Stand Alone Reiki Services

Important Information for Prospective Practitioners

Thank you for considering our space for your classes or services. We value the diverse talents and modalities our practitioners bring to our community.

Based on our experience and understanding of our clientele, we have observed that stand-alone Reiki energy healing services often struggle to generate consistent bookings. While Reiki is a valuable and impactful modality, offering it as a sole service may not align well with the preferences or demand of our current demographic.

We strongly encourage practitioners to pair Reiki with additional modalities or complementary services to enhance their offerings and increase the likelihood of success in attracting clients. This approach not only broadens your appeal but also better meets the holistic wellness interests of our community.

If you have questions or need guidance on how to diversify your offerings, we are happy to discuss ideas and options with you.

Thank you for your understanding, and we look forward to supporting your journey as a practitioner.
11
Professional Path* This field is required.What are your goals regarding your practice as a service provider?
New to practicing. I want to explore modalities and gain experience.
New to practicing. I am focused on growing my practice and business.
Experienced practitioner. I want to explore and add new modalites to my offerings.
Experienced practitioner. I want to grow my practice and client base.
I am somewhere in between with a goal of growing my practice and experience.
Seasoned practitioner. I am new to the area and relocating my practice/business.
Seasoned practitioner. I am looking to expand my current service area.
I am only interested in renting the small rooms for occasional private sessions.
12
Background* This field is required.(check all that apply) In what capacity have you offered your services?
As a hobby
As a side-job
As a part-time business
As a full-time business
For friends and family
To the public
For private parties and events
13
Background* This field is required.On average, how frequently have you offered your services in the past year?
Once monthly
Bi-weekly
Weekly
A few times per week
Almost daily
Less than once per month
Other
14
Clients and Appointments* This field is required.Do you see clients regularly on a weekly basis?
Please Select
Please Select
yes
no
periodically
15
Regular Clients * This field is required.On average, during this past year how many recurring clients do you see consistently on a weekly or monthly basis?
1-2 regular clients
2-4 regular clients
4-5 regular clients
6-8 regular clients
8-10 regular clients
10+ regular clients
The nature of my services doesn't require recurring visits
None, and I am focused on building a client base of regular clients
16
Weekly Appointments* This field is required.On average, during the past year, how many total appointments per week do you typically have?
1-2 per week
2-3 per week
3-4 per week
4-5 per week
5+ per week
1-2 per month
2-3 per month
17
Practice Locations* This field is required.List locations at which you have offered your sessions and services
18
Professional Bio * This field is required.Your professional service provider bio
Huge
Large
Normal
Small
Ok
Ok
19
Small Rooms Tour* This field is required.Have you been into the shop to meet Jackie and tour the room rental space?
YESNO
20
Thank You!

After clicking submit you will be automatically redirected to our room rental info page where you'll see our rental details and expectations, and you can choose a rental package option that's right for you. Choose your best fit option, purchase, and get started reserving the room right away.
Should be Empty: