June 10th Faith @ Work Gathering - Registration Form
June 10th, 2-4pm Temple Beth Shalom | Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Occupation/ Vocation
*
Please select one option.
Architecture & Engineering
Art
Corporate/ General Business
Education
Entrepreneur/ small business owner
Fashion
Finance/ Accounting
Healthcare
Homemaking
IT
Law
Marketing/ Advertising
Nonprofit/ government
Real Estate
Student
Skilled Trades & public service
Other
Select Option
Architecture & Engineering
Art
Corporate/ General Business
Education
Entrepreneur/ small business owner
Fashion
Finance/ Accounting
Healthcare
Homemaking
IT
Law
Marketing/ Advertising
Nonprofit/ government
Real Estate
Student
Skilled Trades & public service
Other
If you selected Education as your vocation, please select one of the following.
Please select one option.
Special Education
Elementary
High School
Undergrad & Graduate
If you selected Healthcare as your vocation, please select one of the following.
Please select one option.
Doctor
Healthcare Management/ IT/ Operations
Nurse
Nurse Practitioner
Pharmacist
Physician Assistant
Other
If you selected Other as your vocation or would like to provide additional detail, please share here.
Would you be open to being a vocational group facilitator? (Facilitator's guide will be sent to you prior to the event)
Please select all that apply.
Yes
List the name of your children requiring childcare with their current age and grade. For example: John Lee (10 years old, 5th grade)
Please list any food restrictions for your child (allergies, vegetarian, vegan, etc.):
Submit
Description
June 10th, 2-4pm Temple Beth Shalom
Please fill out this form and click submit.
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