Intake form

Name *

Email address *

What is your age group?

What areas of skills training are you interested in?

Please select at least one option.

STEM

Entrepreneurship

Career Development

What is your highest level of education completed?

Which community do you belong to?

How did you hear about us?

What type of career exposure opportunities are you seeking?

Please select at least one option.

Internships

Job Shadowing

Workshops

Networking Events

Are you currently employed?

If yes, please specify your current job title or role.

What challenges do you face in accessing career development opportunities?

Which service or services are you interested in?

Please select at least one option.

Career Exposure Programs

Skills training in STEM

Entrepreneurship development

Additional questions or comments

Engage and Empower NPC