Project Launch Registration Form

Project Launch Registration, May 30 - June 2, 2023

Please fill out this form to register for Project Launch at the Launch Pad Teen Center. If you have questions or want to connect before registering, please email natalie@thelaunchpadteencenter.org or call 928.227.0758- ext. 5. Once you complete this form, I will be in contact with you mid-May with more information about Project Launch! -Natalie
Full Name*

First NameLast Name
Preferred name/nickname?
Age*
What school do you attend? (if applicable)
Preferred pronoun(s)?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your E-mail*
example@example.com
Parent/Guardian E-mail
example@example.com
Your Phone Number*
Would you like lunch provided by the Moon Cafe? (cost included with registration payment)*

Yes!No thanks, I'll pack my own
If you answered yes, do you have any dietary restrictions, allergies, or preferences? You'll be able to custom order a sandwich or smoothie closer to the event.
Are you interested in participating in the 8 month internship program at The Launch Pad's Moon Cafe? (separate application, interview, and selection required)*
Why do you want to participate in Project Launch? Where are you in your employment journey?*
Briefly describe three accomplishments you hope to achieve at the completion of Project Launch:*
How did you hear about Project Launch?*
If you have already created a resume, upload it here. If not, we will create one during the conference.

Cancelof
Project Launch charges a $100 fee to help with the workshop's cost of food, materials, etc.*

I will pay by cash or check before or at the first meeting at the Launch PadI would like to request a scholarship to attendI am part of the Moon Cafe Internship program
By Electrically signing my name below, I indicate that I agree to abide by all rules and expectations of the Launch Pad Teen Center and to have my parent/guardian complete the TLP Registration form on this website: https://thelaunchpadteencenter.org/register/*

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Project Launch Registration, May 30 - June 2, 2023