Request Form for Services

After you have filled it out, I will contact you to go over the details, answer any questions that you have, and then prepare a proposal for your review.

Name *

First Name

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Email *

Organization

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Phone *

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Please describe your request for services below *

Why do you want to work with me? *

What services are you looking for? *

Are you looking for me to research?

Are you looking for me to facilitate?

Is there something else?

What is the outcome you are looking for in this request? *

Please check off all that apply.

Written Research

Written Feedback

Written Observation

Written Report

Written Plan

Facilitated Meetings focused on Delivery of Content

Facilitated Meetings focused on Conversation

Facilitated Meetings focused on Idea Generation

Facilitated Meetings focused on Collaboration

Other

Based on the above, can you describe in more detail the outcomes that you checked off? *

What is the timeline for the consulting? *

Eg. when would you like to discuss your request for services, when would you like a proposal by, and when would you like the work to happen?

Have you decided on a budget amount you are working with? *

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Do you want to tell more?

Will you be applying for a grant to cover the costs of this service? If yes, when will you be applying for the grant? *

Do you have any questions or comments for me?

Thank you very much for filling out this consulting form. If you do not hear from me within the next week, please contact me at geraldine@riverstone.consulting

Contact Form

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Message *

Thank you for your message! If you don’t hear back from me in a week, please email me at geraldine@riverstone.consulting

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-Geraldine Ysselstein

I acknowledge that I am a guest, settler, immigrant, citizen, and Treaty person in “Canada”; and that I live and work in Treaty 7 which is the traditional territories of the Niitsitapi from the Blackfoot Confederacy, including the Siksika, Piikani, and Kainai Nations; Îyârhe Nakoda of the Chiniki, Bearspaw, and Wesley Nations; as well as the Dene of the Tsuut’ina Nations. I also acknowledge that this territory is home to the Otipemisiwak Métis Government of the Métis Nation within Alberta District 5 and 6. I live where the Bow and Elbow Rivers meet in Calgary which is known as Moh’kinstsis in Blackfoot, Wicispa Oyade by the Îethka Nakoda, Wîcastabi, Guts’ists’i by the Tsuut’ina nation, and Otos-kwunee by the Métis.