Your First Name *

Your Last Name *

Pronouns

Your Email Address *

Where do you work? What do you do? *

Are you interested in joining the Daytime Track or the Nighttime Track? *

Each session builds upon the other. Confirm that you are available to attend each session in the track you selected, in addition to the kick-off institute, community sessions, and *

Please share any relevant information about your availability for sessions

What do you hope to walk away with as a result of participating in the Promotion with Purpoe Program? How do you hope this program will advance your work, business, and/or life? *

How will your presence in the cohort contribute to a powerful learning community? What do you feel you have to offer your peers? *

With advanced notice “virtual childcare” can be available to children ages 3+ so that distractions are minimized during training times. All you need is a second device for your kiddo to log-in and there will be art and other activities provided to keep them at least partially occupied. Is this something you would like to learn more about? *

How did you hear about this program?