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Dr. Mickra Hamilton — Application to Work Together
Please complete this form so I can better understand your needs and prepare for our conversation. All information will be kept confidential.
Name
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Contact Email
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How may I assist you? (Select your primary area of interest)
How may I assist you? (Select your primary area of interest)
A
Speaking & Workshops
B
Organizational Partnerships
C
Executive Deep Dive
D
Other
How did you connect with me?
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How did you connect with me?
A
Referral/Word of Mouth
B
Social Media (LinkedIn, etc.)
C
Website/Blog Content
D
Previous Event/Speaking Engagement
E
Search Engine
F
Other
In a few sentences, what's drawing you to this work right now?
What does 'coherence' mean to you — or what would it look like in your life or organization?
What would a meaningful outcome feel like, not just look like?
Logistics: Please provide details based on your selection above.
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Speaking & Workshops: Event Details (Event type, audience size, approximate date, and location)
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Organizational Partnerships: Organization Details (Organization size, industry, and what prompted your inquiry)
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Executive Deep Dive: Commitment Details (Individual or team, and any sense of timeline or commitment level)
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Is there anything else that arises that you'd like me to know before I reach out?
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