Individual Registration

Name(Required)

First Last

Organization

Email(Required)

Phone(Required)

Opt-in to messages from Discover You™?

Yes

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

By completing this section, we hope to learn a bit about you and your motivation for joining Discover You™.

Share a link to your resume or to your resume profile.(Required)

Resume profile could be: LinkedIn, Handshake, etc.

Why did you choose Discover You™?(Required)

Please provide examples of how you hope to incorporate Discover You™ into your work and life.(Required)

Describe how you see Discover You™ creating change in the lives of youth.(Required)

What is your level of commitment?(Required)

Please enter a number from 1 to 10.

On a scale of 1-10 with 1 being the least and 10 being the most, rate your level of commitment to the Discover You™ training.

I confirm I have read, understand and agree to the below terms.

I understand that my email and phone number will be used as a method of contact by Discover You™ and associated parties.
I understand that Discover You™ and associated parties does not and will not sell my information to third party originations.

Once you hit submit, you'll be redirected to a payment page. Your responses to the previous questions will be emailed to you. If you are part of a grant-funded program and do not need to submit payment, simply hit submit and then close out the payment page.

Total

Office Location

Email