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Hines-Gaither Consulting, LLC, In-Take Form
Thank you for selecting Hines-Gaither Consulting, LLC to meet all of your diversity, equity and inclusion needs. With almost two decades of experience and a long list of top-rated clients, you have made the right decision.
Website:
www.hinesgaitherconsulting.com
Blog:
www.cupofdiversity.com
Email:
hinesgaitherconsulting@gmail.com
Schedule appointment:
https://calendly.com/hinesgaitherconsulting
LET'S BUILD TOGETHER!
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Institution/Position
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How did you learn about Hines-Gaither Consulting Services? Check all that apply.
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www.weboaal.com
(website)
www.hinesgaitherconsulting.com
(website)
www.cupofdiversity.com
(blog)
One of Dr. Hines-Gaither's publications (newspaper, books, etc)
One of Dr. Hines-Gaither's workshops (in-service, training, keynote, etc)
Word of mouth/Recommendation
Promotional flyer
Personal invitation or solicitation from Dr. Krishauna Hines-Gaither
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What service are you seeking? Check all that apply.
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Content analysis (review of your web content or documents for inclusive language and imagery)
Freelance writing (blogs, articles, quotes, essays, chapters, books, web content, etc.)
Training or workshop (on diversity, equity, inclusion, anti-racism, anti-oppression, etc.)
Coaching (professional counsel, builder, mid, executive)
Space design (design or stage office for inclusive ambience and welcoming space)
Facilitate dialogues (facilitate discussions on diverse topics/difficult topics)
Assessment and evaluations (assess organization's climate of diversity and inclusion)
Improvement plan (design comprehensive improvement plan for inclusion & growth)
Programming & events (design first class program for any celebration of culture or inclusion topic)
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What are your main goals and outcomes that you hope to receive from Hines-Gaither Consulting, LLC?
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What are the best days for you or your organzation to meet with Dr. Krishauna Hines-Gaither? Check all that apply.
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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What time is best for you or your organization to meet? Check all that apply.
9:00am EST
10:00am EST
11:00am EST
12:00pm EST
1:00pm EST
2:00pm EST
3:00pm EST
4:00pm EST
5:00pm EST
Other:
If you are interested in individualized coaching, what level of coaching might you wish to pursue? Full listing of services are available at
www.hinesgaitherconsulting.com
.
Not inquiring about coaching
Builder: $300
Mid: $600
Executive: $1,000
Other:
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List a few words or phrases that describe you or your organization. Consider positive attributes as well as growth areas.
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