Initial Consultation Qualification Form

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(For Potential Licensees)

📅 Consultation Details:

1. Background Information

If currently operating, please provide:

2. Goals & Motivation

3. Facility & Market Information

Facility details (if applicable):

4. Financial Readiness & Investment Capacity

5. Leadership & Team

6. Next Steps

☐ Schedule Discovery Call / Demo of Curriculum Platform
☐ Receive Licensing Information Packet
☐ Conduct Market & Facility Review
☐ Schedule Follow-up Consultation