Onsite Membership Application

Tribe Healing Arts Membership Application

If you are interested in becoming a member of Tribe, please fill out this form in order to set up a one-on-one meeting with one of our team.

If you would like to see the facility before applying please join us for one of our many free events and ask to see the treatment space. Click here to to view our event calendars.

***Don't leave this page while you are filling out the form or your information will be lost!***

BASICS

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

WHAT DO YOU DO?

Primary Practice *

Primary Training *

Years in Practice? *

Additional Modalities *

Additional Training *

What is your current client load (per week)? *

What is your ideal client load per week? *

Briefly describe your treatment approach. *

What type of support will you need most as you aim to build a successful private practice? *

List links for Website, Facebook or Yelp Page (or "none" if you're old school) *

ARE WE A GOOD FIT FOR YOU?

Why would you like to join our Tribe? What aspects of community appeal to you? *

How would you like to collaborate with other holistic healthcare providers? *

We have a posted policy that tipping is not required for holistic healthcare services. Your thoughts? *

What are your views on conventional (Western) healthcare? How would you like to collaborate within this system? *

What is your level of interest in attending events to build relationships with other practitioners? *

Do you hold professional & general liability insurance? *

We use Slack, an app that is integral to effective communication within our community. Do you have the ability to download this app to your phone? *

MORE ABOUT YOU

What do you do for fun? And what do you do to relax? *

Do you have a start date in mind for joining Tribe? (Contracts begin on the 1st of each month. A minimum of 30 days is required once your application is received) *

Do you have any secret superpowers? (ya know, non-healthcare related skills/ talents) *

Do you have a mission statement for work/life? *

How did you hear about Tribe? *

Do you have a specific schedule in mind for your practice at Tribe? *

Applicant Interviews are held on Sundays. Please list 2-3 dates and times that you are available to meet with us. *

Submit My Application!