Technician – Soul Survivor Ink

Technician Information disclosure

Soul Survivor Inc. (Ink) is always looking for partnerships with outstanding Artists who align to the Soul Survivor mission to help transform the lives of sex-trafficking survivors. Please review the information below and share about your professional experience so we can get a better idea of what you do and who you are. We would love to connect and see if we can align once this form has been completed. If you cannot fill out form for some reason, please email us to connect for a discovery meeting.

NOTE: Filling out form does not guarantee acceptance into Soul Survivor Inc. Technician affiliate or programs. Each artist or technician applicant is required to complete. In addition, by filling out form you release Soul Survivor Inc of any liability and allow Soul Survivor Inc. to contact you regarding process.

First Name (required)

Last Name (required)

Organization Name

E-mail (required)

Phone (required)

Physical Street Address

City

State

Zip Code

Country

Check if you want to become a certified affiliate technician.
Check if you want to become sponsoring or referring partner (financial or in-kind).
By checking this box you agree and certify that all statements and information you make on this discovery are true and complete.

Is your location private and secure. What is the location of your business?

Have you worked with tattoo removals, sex-trafficking or gangs previously? (Please describe in detail)

Please describe professional licenses and qualifications.
Note: We require every affiliate to have professional insurance and private location for all treatments. We also require considerable paperwork for each procedure for safety purposes.

What do you desire to get out of a partnership with Soul Survivor Inc.?

Do you desire to earn compensation with Soul Survivor Inc. or donate services? Please describe.

Please describe your personal and professional mission.

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Technician Information disclosure