Name *

First Name

Last Name

Phone

(###)

###

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Which of the following areas are you most interested in developing through this program? *

Check all that apply.

Leadership Development

Advanced Communication Strategies

Strategic Thinking

Career Advancement and Salary Negotiation

Building and Navigating Professional Networks

Managing Workplace Challenges and Bias

Are you available to commit to all scheduled workshops and mentorship sessions? *

Yes

No