WIRe Accelerate — Support Request

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Hello and thanks for your interest in the WIRe Accelerate program! It's important to us that this program be accessible to our community and we recognize that many are facing additional hardships at this time. Please fill out the form as completely as possible and we'll get back to you as soon as possible — if you do not complete the form with all of the required information we will be unable to process your request. If you have any questions please reach out to jessica@womeninresearch.org.

Email *

What is your name? *

What is your current title and company? *

If you are unemployed/in-between roles please let us know.

Briefly describe your relationship to the Market Research/Insights industry *

This program is intended for professionals in and adjacent to the MR industry; if you are a Market Research student, entry-level researcher, senior-level executive, or anything in-between please let us know!

If you are currently employed, have you requested coverage from your employer? *

We're happy to share program details/benefits with your company's leadership, please reach out to michelle@womeninresearch.org for information on corporate professional development opportunities.

Yes

I am self-employed

I am unemployed/a student

If you are employed and have not requested coverage from your employer, please share a leadership contact's name and email so that we can request employer coverage.

What kind of support are you requesting? *

I am facing financial hardship. I would like a 25% discount on the WIRe Accelerate program ($125 value)

I am facing financial hardship on top of additional setbacks. I would like a 50% discount on the WIRe Accelerate program ($250 value)

I am unemployed or unable to find work at this time. I would like a 100% discount on the WIRe Accelerate program ($500 value)

Please provide a LinkedIn link, link to your personal website, or link to your companies employee bio section *

A copy of your responses will be emailed to the address you provided.

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