March 10th Faith @ Work Gathering - Registration Form

March 10, 2-4pm Temple Beth Sholom | Please fill out this form and click submit.

Name

This address will receive a confirmation email

Church Affiliation

Please select one option.

King's Cross Living Faith Both Other

If other, please describe your church affiliation

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

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 Dentist or Optometrist 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? (A facilitator's guide will be sent to you prior to the event)

Please select all that apply.

Yes

For toddler and up, list the name of your children requiring childcare with their current age and grade. For example: John Lee (10 years old, 5th grade) Child Name 1

Child Name 2

Child Name 3

Child Name 4

Please list any food restrictions for your child (allergies, vegetarian, vegan, etc.):

Description

March 10, 2-4pm Temple Beth Sholom

Please fill out this form and click submit.

March 10th Faith @ Work Gathering - Registration Form

Description

Please Fix the Following