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Type Practitioner Create

This is an administrative page.
You must have an account on this site to create a record in the TypePractitioners directory using this form.

If you do not have a login account, use the New Type Practitioner form to submit your information via email.


This form is used to create a new record in the Type Practitioners directory.

Note: All fields can be changed or updated at a later date.

Basic Information

First Name(s):
required

Include middle name or initials if used

Last Name:
required

Practitioner Status
required
   

Are you actively seeking new clients? Is this record still in draft mode?
Choose Inactive to create a page that will not show up in the published directory.

Degrees:

M.S., M. A., ...

MBTI® qualification
Additional Certifications:

Separate with commas.

Languages

Select languages you speak. If "Other...", list those languages in the Summary field (below) and let us know.

Clients Seen

Select clients you prefer. If something is missing, list it in the Summary field (below) and let us know.

Concentrations
(Subject Areas)

Select preferred subject areas / areas of expertise. If something is missing, list it in the Summary field (below) and let us know.

Formats Offered

Select formats you offer. If something is missing, list it in the Summary field (below) and let us know.

Summary:

A short (1 or 2 sentence) summary of your expertise.
Avoid repeating items covered by other fields in this form. More details can be added in the Notes field, below.

Photo:

Replace this default URL with a link to a PNG, GIF, or JPG image.
OR after creating the practitioner record, attach an image to the new page, then update the form.

Contact Information

Company Logo:
(optional)

Replace this default URL with a link to a PNG, GIF, or JPG image.
OR after creating the practitioner record, attach an image to the new page, then update the form.

Company name:
Company URL:

Do not include the http:// portion.

City, State:

Your primary location.

Chapter Region:

Select your primary region (chapter).
If you regularly cover region(s) not listed in the menu, enter those below, separated by commas.


APTi e-chapter member?

Are you a member of the APTi e-chapter?

Available to Travel?
How willing are you to travel outside of your regular region(s)?
Email:
Telephone:
Skype ID:

Your Skype ID if you use Skype. If only by appointment, add "(by appointment)".

Google ID:

Your Google ID if you use Google. If only by appointment, add "(by appointment)".

LinkedIn URL:

Do not include the http:// portion.

Additional (Optional) Details

Use the "Notes" field for any additional URLs, contact methods, or information not otherwise covered above.

Notes:

Be descriptive. Wiki shorthand (markup) can be used here.

-- Main.VickiBrown - 23 Jun 2016
Topic revision: r32 - 03 Nov 2016, VickiBrown
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