Become a cooperator

First name

Last name

Email *

Phone Number *

What services are you interested in bringing to Halcyon House? *

Tell us about your background, qualifications, education, and certifications. *

Tell us about your perfect practice, schedule, clientele, and services offered. We want to hear about what excites you and what your dream is, not what you think we might want to hear.

What props, room or space requirements, and equipment do you need to practice your craft? *

Why are you interested in joining Halcyon House as opposed to creating your own business or private practice? *

Do you have any experience with cooperatives? *

Resume

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