Group Leader Intake Form
Name
Email
Phone
Have you completed 2-3 weeks of the free foundations program?
Yes, completely.
Kind of, I didn't do it every day.
No, I didn't do daily practice.
No, I didn't use the face it & erase it tools.
Have you watched the Group Leader Training Video?
Yes
No
Have you read the WHY WE documents and filled out the fill-in-the-blank GROUP LEADER STUDY GUIDE?
Yes
No
When is the best day and time to reach you for our half hour getting to you know meeting? (Within the next week.)
Do you have any specific questions in mind to ask about HMHB program or teachings during our meeting?
What is the name and location of the school or group you are looking to be the group leader of? Tell us in 2-3 sentences about your school or group.
Name: Location: About:
Have you had a background check within the past year or a current one on file with your employer?
Yes
No
If you checked NO in the background check box, we need to run one. It's $25, secure, and you can have access to it for your records. Do we have your permission to run a background check?
Yes
No
Submit