(re)imagining your career

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I'm so glad you are interested or able to join in the course! Please take a moment to fill in this form so the facilitator (Lindsay) has all the info in one place. The contact information will only be used by the facilitator to contact you during the course.

If you have any questions, please be in touch with Lindsay via email at Lindsay@yarbgroup.com.

First Name

Last Name

Phone Number (will only be used if the facilitator needs to get in touch quickly and will likely be used for texting)

Birth Date

YYYY

What is/are the main reason(s) you're interested in this course?

What questions do you have for the facilitator?

Payment options: The cost of the course is $750. Please select your preferred option. If there is no link, the instructor will be in touch.

Pay full amount before the course. (https://tinyurl.com/ypwzyavt)

1/2 at the beginning and 1/2 at the end (https://tinyurl.com/ymepbd8c)

$125 per month for 6 months

Interested in scholarship information

Other:

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