Welcome to Daddio Time
Basic Information
Your Name
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Email Address
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Contact Number
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Zip Code
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Work Related Information
Company Name
Licenses and/or Certifications
Specialties & Expertise
Professional Website
Typical availability
Weekdays
Weekends
Evenings
Liability Insurance? :
Yes
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Basic Information
Give your best elevator pitch: Why are you filling out this form? What in our mission, values, or approach do you resonate with and how could you help us in our pursuit? Who do you want to help (describe your target audience / client)? What are their challenges, and why are you the right person to help them?
Philosophies, Methodologies, and/or Types of Therapies Offered:
What are your hobbies, interests, & passions outside of the work environment?
Name a few favorite books or movies without overplaying the therapy or dad card. Why do you like them?
If not included above, please summarize your relevant career path, education background, and/or life experiences.
Anything else you’d like us to know?
Thank you for taking the time to drop us your info! We will be in touch as soon as possible to discuss any next steps. Until then, please keep serving the needs of men and their families!
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