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Application for The Career Leap program, January 2021
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First Name
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Last Name
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Email
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Number
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Tell us about your current career (what you do, where, for how long, what doesn't work about it).
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Please share your aspirations (what would you like to accomplish, areas where you would like to make a difference, your special skills and talents).
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What would you like to get out of The Career Leap program?
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Let's do it!
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I'm not ready to jump in just yet, but I would like to stay connected
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First Name
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Email
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Phone
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SUBMIT
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