Synapse Integrative Wellness Rental Application

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"Synapse Integrative Wellness, seeks to bring together a group of successful professionals who are committed to expand the scope and impact in people's health & life. We seek to create a collaborative work/ healing space for all professionals within in to thrive."

We welcome your application!
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What is your name and professional title?* This field is required.
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What is your website?
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What number can we use to reach you?* This field is required.
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What is your email address?* This field is required.
example@example.com
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What is your current address?
Street Address
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What is your social security number?We ask for this to conduct a background check
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Do you have a lease? or when or how soon are you looking to relocate to a new space?Can provide an estimated timeline
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What do you do and what is your primary emphasis or specialty? What sorts of people do you work with and how do you help them?* This field is required.
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What drew you to apply to rent a treatment room at our Center?* This field is required.
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What are you excited about creating or bringing into your current practice (that you don't currently have)? (I.e. if you want to start offering workshops & retreats, or online classes, but you haven't started or have no clue how to do it...)
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On average how many clients/ patients do you see a week?
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Do you run groups or is your work based on individual work?
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Do you have any interest in running workshops, classes, groups or retreats? Why or why not?
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What is your current yearly income and what would you like it to get to? (The more honest you are the better we will be able to help you get there.)* This field is required.
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What are you looking for in a Space to Grow your Business/Practice?
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We currently have 3 Spaces Available for New Practitioners: Two are in the Main floor. One is a small office that rents for $450 /mo The other is a large office that rents for $800 /mo, and the 3rd is on the basement is a large office with a small treatment room attached to it (basically 2 rooms) that rents for $1100/mo, which one of these interests you most and why?
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We want to know a little about you and how you normally deal with difficult situations. Again your honesty will help us ensure that we have a good fit among practitioners.

Thank you!
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How do you deal with conflict? Tell me about a time when you had an issue with a co-worker or supervisor and how you handled it?* This field is required.
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Finally, WHY should we pick YOU to join our center? Is there anything else you'd like to share?(Yes, this is your chance to "sell" us on you ;-)
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What is your availability in the next few days/weeks so we can set up a time for you to come and look at the space?
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Sign your name indicating your interest & truthfulness We look forward to reviewing your answers and connecting further!
Clear
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Thank you for your interest & time!

We will review your answers and we will get back to you within 36-48 hrs and let you know of the next steps. We hope we get to meet you soon!
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Thank you for your interest & time!