Consultant Registration Form Name Full Name * Degree * Summary of skills * List specialist areas ( 2 only ) * Accreditations * Attach your photo * (Note a professional headshot photo is required, no accessories like hats or sunglasses, a white background is preferred) Agreement I Accept the Agreement I agree to allow Business and Projects trading as JanQwz Cosulting and/or its partners to publish, copyright, and use pictures of me and/or my story in print and electronic formats such as publications, videos, projects, and websites that help the company publicize its services to potential clients. I understand that my picture or story may be published in any of these media without restriction. I understand that I will not receive payment or other compensation for use of my story or photos. I confirm I am joining the company for the opportunity to receive work that the clients may bring to the company. Such work is not guaranteed. A separate agreement will be needed for the work to be carried out for the company’s clients.