Register Your InterestFill out the form below to register your interest in the program and a member of staff will contact you shortly Name * First Name Last Name Email * Date of Birth MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Reason for your Enquiry * Register for Program Schedule a Consultation Call Enquire about Future Cohorts Parent/ School/ Teacher looking for more information Other Which weekly section of the program interests you the most? * Business Strategy & Insights People & Culture Marketing & Communication AI Integration For Business Career Launchpad Week Are you able to commit to 4 weeks (1 Career Launchpad), 10 - 16 hours per week remotely. * 2hr Live Session on Monday and Friday for Briefing and Presentations, Tuesday 1 hour guided coaching session. Rest of the hour commitment is self-paced Yes No Not Applicable Thank you for taking the time to complete this application! We appreciate you sharing your thoughts with us. We review applications carefully and aim to notify applicants about the next steps (including potential invitations for a short Zoom meeting) within 48 hours of submission.If you have urgent questions, please contact us at info@grassrootstowork.com