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Organizational Advisory & Mediation Intake

Please complete the form below
Organization Name Industry or Sector Number of Employees Province(s)/Territory or Countries of Operation Name and Pronouns Position E-mail Phone
I prefer to be contacted via
Email
SMS text message
Phone
What type of support are you seeking? Select from dropdown What prompted you to seek support at this time?
Is your organization seeking any of the following as part of this request? To maintain neutrality and ethical practice, I am not able to take on roles that involve investigation, discipline, legal advice, or crisis response.
Legal advice
Investigation or fact-finding
Disciplinary recommendations
Emergency or on-call support
None of the above
Is participation voluntary for all involved parties?
Yes
No
Unsure
Are there any allegations involving:
Violence or physical harm
Sexual misconduct
Threats, intimidation or coercion
None of the above
Has budget been allocated for this work?
Yes
In progress
No
When were you hoping to begin?
By checking the box below and submiting this form for review, I understand that this service is consultative in nature, does not replace legal or HR processes, and that submission of this form does not guarantee acceptance of an engagement.
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