Service Provider Application

1
Service Provider Application

Thank you for your interest in becoming a service provider with Atlanta Redemption Ink. Our mission is to bring freedom, healing, and transformation to overcomers in our communities.

We strive to provide the best care for the individuals we serve and we are so grateful for your compassion to make that possible.

We take time to carefully review each artist application, screen each shop & artist we bring on board to ensure the utmost care for those we serve. Portfolios are reviewed as well to ensure quality to those we serve.

This is our screening application and we look forward to speaking with you soon!

Atlanta Redemption Ink atlantaredemptionink@gmail.com 678-926-9946
2
How did you hear about Atlanta Redemption Ink?* This field is required.
3
Name* This field is required.
First Name
Last Name
4
Email* This field is required.
example@example.com
5
Phone Number* This field is required.
Please enter a valid phone number.
6
Business Name* This field is required.
7
Please Indicate Your Profession Below* This field is required.
Removal Doctor/Removal Services
Tattoo Artist
Trauma Informed Counseling
Life Coaching/Job Readiness
8
Do you specialize in cover-ups of tattoos and scars?
Yes
No
N/A to Service I provide
9
Business Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
10
Years of Expertise in Your Field* This field is required.For Tattoo Artists (We are currently not accepting apprenticeship artists or those with less than 2 years experience).
11
Website and Social Media Handles* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
Private Sessions?* This field is required.
YESNO
13
Why do you want to join our team?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
14
Availability
Weekends
Mondays
15
Due to the nature in which we work and providing the upmost care for those we serves and our volunteers. Is your establishment drug free and there are no sex crimes in your background?* This field is required.
No
Need to discuss
Yes
16
Are you open to having a background check on these?* This field is required.
Yes
No
17
Are you open to trauma informed training. This is a training that is survivor led and can be done before shop hours. Due to shop turn over, we ask training be done quarterly.* This field is required.
Yes
No
Maybe
18
Are you interested in becoming a Safe Place? (Safe Place is a worldwide initiative to provide safe havens for at-risk youth until an advocate can arrive to assess the situation.) Your place of business will be trained and equipped to handle these situations, if they were to arise.* This field is required.
YESNO
19
For Tattoo Shops and Tattoo Removal Specialists
Tattoos from sex trafficking/exploitation
Self Harm Scars/Burns
Track Marks or Drug Related (symbols-words/phrases)
Gang/Hate tattoos
Other
20
If other than please explain:
21
Additional information you would like to provide or share about yourself and your business
Huge
Large
Normal
Small
Ok
Ok
22
Do you understand and acknowledge that each individual we work with is on a healing journey, in recovery, or have experienced severe trauma. This may or may not come with challenges, so patience is a must.* This field is required.
YESNO
23
ARI Provider Requirements* This field is required.1. ARI requires all artists' & removal doctors' businesses/space to be up to health code regulations, drug-free, clean and sterile. 2. (Pertaining to covers) ARI will not approve any images depicting death, hate symbols, demons, depressive imagery, sexual images, astrology symbols, or questionable names/phrases 3. Please understand that this is a difficult and big step for them in their recovery and they are all in different stages of their process. 4. We are a 501C3 non-profit organization and services are tax-deductible. If you are not pro bono, reduced and reasonable rates are appreciated and can be discussed. Money is not exchanged between the applicant and shop. 5. With taking a photo of your cover-up or removal, please NO facial images or names are to be posted on your page to ensure privacy. 6. Please no vulgarity or disrespectful talk with applicants. We ask the same in return from them towards you. 7. No scratchers or basement/home artists Lastly: *** Atlanta Redemption Ink is NOT a place to compete with other artists or shops. We have multiple artists, shops and specialists from all over *some in the same area* that are wanting to help survivors in their journey and we want to provide that place for anyone who meets the requirements to do so. Thank you for your understanding. If you feel you meet these guidelines - we would love to partner with you, meet you personally and start a partnership. An application does not secure a place on the team and we take our network selection very seriously due to the amazing individuals we work alongside. We take the time to also screen clients who apply, so you will not need to screen them. Our artist selection is not solely base on artistic ability. Please no "rock star" mentality.
I have read, understand and agree.
Other
24
If you chose "other", please explain...
Should be Empty: