INTAKE FORM Full name of point of contact * Your name here First Name Last Name Point of contact pronouns Date of Birth MM DD YYYY Point of contact phone number (###) ### #### Point of contact email address * What kind of session are you interested in? Jaamil Olawale Kosoko (they/he) is a multi-spirited Nigerian-American poet, curator, and performance artist originally from Detroit, MI. Jaamil’s work in performance is rooted in embodied ritual practice, poetics, Black critical studies, and queer theories of the body as a means to conjure and craft perpetual modes of freedom, healing, and care when/where/however possible. Each session is individually facilitated by Jaamil. Together we unlock hidden creative potential through vision cultivation, strategic planning, guided centering, and deep listening. Depending on the nature of the work, sessions may involve moving, free writing, spellwork, and emotional releasing. Ways to pay: paypal.com/paypalme/jaamilkosoko cash.app/$ForBlackLove venmo.com/jaamil-kosoko Click below to learn more: linktr.ee/jaamil Creative Coaching Session Rest Craft Conjure Dream Opening Session Energy Reading and Intuitive Session Professional Development Consult Thank you for contacting me. How did you hear about my work? Presonal Website Instagram Facebook Google Presenter Residency Artist Funder University Client Referral Industry Referral Other Unknown Organization Name and Location Do you identify as a non-profit or foundation? Yes No Ideal date(s) for project MM DD YYYY Is this project multiple days? Yes No Unsure Presentation Location Where would jaamil be performing, teaching, or facilitating? Will this project be in-person or virtual? In-Person Virtual Both Uncertain Describe the type of project/event are you interested in me participating in? Academic Advising Creative Consultation Design Educational Lectures Energy Readings Facilitation Film Screenings Lectures Performance Performance Residency Poetry Readings Teaching Residency Other Estimated guest/audience count Estimated budget Please use this space for your website and/or any additional information. Thank you for contacting me. Someone from my team will be in touch shortly.
