Participant Application:
Thank you for your interest in the 2019 cohort of the "Prepare U" Workforce Development program, brought to you by the Power Center CDC and the Gifted Education Foundation.

Are you ready to take your life to the next level? Yes? Well keep reading!

We are ready to prepare you by teaching you some professional skills that can help give you "fast track" access within some great career positions in Memphis.

This year, the cohort will only host a select group of serious candidates. Taking this survey is your first step & every answer is required in order for you to apply.

If you have any questions, please submit them to info@powercentercdc.org or call 901.333.6805.

Note: If a section does not apply to you, please put "Not Applicable" in the response section. You must fill in each section of the application.

First Name, Last Name:
Email Address:
Date of Birth:
MM
/
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/
YYYY
Age:
Male or Female:
Address:
City:
State:
Zip Code:
Phone Number:
Mobile Number:
Best way to reach you?
Emergency Contact Name:
Emergency Contact Number:
Emergency Contact Relationship to You:
If you are on Social Media, Please Provide Your Social Media Links Below.
Facebook :
Instagram:
Snapchat:
Twitter:
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