Stack License Application | Pediatric Sleep Academy

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Use this to effortlessly collect wallet addresses with Wallet Connect, providing a seamless and secure connection with the most popular crypto wallets.

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Automatically delete form submissions after a set period. Enable this option to define how long submissions are stored before they’re deleted. When disabled, submissions will be retained until manually deleted.

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Set how many submissions you want to receive in total.

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Collect answers from people who filled in a part of your form, but didn’t click the submit button. Capture data from lost leads, find drop off points and improve your conversion rates. You can't export partial submissions with integrations, nor enable email notifications.

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Stack License Application | Pediatric Sleep Academy

Personal information

Full name

City, State, Zip Code

Email address

Phone number

Becoming a business licensee

Why do you want to launch your own pediatric sleep consulting business?

If you're currently a practicing pediatric sleep consultant, whats your average monthly revenue?

Whether you're a current or aspiring pediatric sleep consultant, how would you rate the following when it comes to running your own business?

Acquiring new customers

Setting up and maintaining a website

Managing business finances

Building confidence in training parents

What other business challenges do you face or anticipate?

If you're accepted as a licensee, how many hours per week do you have available to put towards your business?

Professional background

Tell us about your work history and professional background

LinkedIn profile URL

Resume upload

Which social media platforms do you actively publish on?