Request a CORE Facilitator

Please complete the following to help us select a facilitator
that will best serve your needs

Company Name:
Your Name:
Address
City Province/State:
Country: ZIP Code:
Phone: Fax:
Email Address:


CORE Facilitators are highly trained in using the CORE assessments to move
clients through negative conditioning that may be preventing them from living a
happy, fulfilling life and from reaching their highest potential. Our facilitators
serve clients worldwide and are recommended based on the criteria provided below

I am interested in a facilitator who specializes in:
(Check all that apply)
 Personal growth and understanding
 Couples counseling
Family dynamics
Career guidance
 Corporate coaching/consulting
 Business development
Corporate training
Effective hiring/promoting

Type other specific areas of interest below:


How would you like us to contact you?
(Be sure to include all necessary information for contacting you above)

Contact me by:
 E-mail
Phone
Mail


Other comments or questions ? Type below:


If your form submits properly you will see a "Thank You" screen after sending.
A CORE representative will contact you within 24 hours.

If you have trouble submitting, please send an email
to gem@coremap.com indicating the trouble.