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PowerUP Program 2.0 - Registration Form
The PowerUP Program empowers young Nigerians by providing them with the necessary tools and support to excel as entrepreneurs.
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Age?
Your answer
Gender
*
Male
Female
Do you reside in Lagos?
*
Choose
Yes
No
Lagos home address
*
Your answer
LGA of Residence
*
Choose
Agege
Alimosho
Apapa
Ifako-Ijaye
Ikeja
Kosofe
Mushin
Oshodi-Isolo
Shomolu
Eti-Osa
Lagos Island
Lagos Mainland
Surulere
Ojo
Ajeromi-Ifelodun
Amuwo-Odofin
Badagry
Ikorodu
Ibeju-Lekki
Epe
This is a hybrid training strictly for participants in Lagos, will you be able to attend all the physical classes?
*
Yes
No
Which of these options applies to you?
*
Student
Employed
Unemployed
NYSC member
Self employed
How did you hear about this program?
Social Media
Friend/Family
Email
Others
If "Others" please indicate
Your answer
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