Barke BeYourOwnHero Programme Regristration Form
Thank you for your interest in BARKE BEYOUROWNHERO PROGRAMME

Own It

According to a recent WealthiHer Network poll (2023), 79% of women acknowledge that they have experienced self-esteem issues at some point in their lives.
Some of the factors behind the scenes contribute to the trauma, pain, and suffering. Caused by poverty, social pressure, family breakdown, and not having individual and support systems in place that are ready, willing, and able to educate, strengthen, and guide the young people and adults towards the positive aspects of life.


This programme has grown from our concern for the communities and the future of young people, adults and entrepreneurs the best way to explain it will be someone that they can relate to, someone that had walked their path. We understand that these young people and adults still have a bright future and can still become pillars of their communities. We are here to create a pathway for the young people, adults and entrepreneurs to take so they can one day lead the next generation.


We will be hosting monthly meetings starting from July 2022 to share with you details about our upcoming programme. To receive an invite to the meeting, you must be registered. By completing this registration form, your space will be reserved and an invitation will be sent.

Sign in to Google to save your progress. Learn more
Email *
What is your Title? *
Required
First Name *
Last Name *
Street Address *
City *
State/Province *
Country *
Zip/Postal Code *
Phone Number *
Tell us about yourself *
How did you find out about Barke BeYouOwnHero's Programme? *
Required
Tell us how you got to find us.
Share the event's name, stall or if you clicked on other. 
What is your occupation?
What are your three main goals? *
What would you like to focus on? *
What would you like to achieve in this programme? *
What is your preference for this programme? *
Required
What would stop you from participating in this programme? *
What motivate you? *
Name three things that you find hard to do? *
Scale yourself, How much are you willing to achieve your goals? *
Not Much
Very Much
What is the best way to contact you? You can add more than one option. *
Would you like to be contacted for future programmes or research by the Barke BeYourOwnHero? *
Next step is video call.  choose what days of the week is the best for you? (You can choose more than one option) *
What times are good for you?   (You can choose more than one option) *
Payment method *

Payment options.

Bank Transfer

Barke Faraj kamuss

Bank: Halifax

Sort Code: 11-04-77

Account Number: 13496762

Reference section to add your name and number of payments. 

PayPal

Barke-BeYourOwnHero

Email. barke.kamuss@icloud.com 

https://paypal.me/BakeBeYourOwnHero?country.x=GB&locale.x=en_GB

With best regards 

Barke-BeYourOwnHero

We are looking forward in meeting you again.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms