New Customer Registration Form

Welcome to LiftHER CareerCafe!

We're thrilled to give you the lift you need to launch your career with confidence! Complete the form below to join CareerCafe and get started with networking like a pro!

All memberships include a 10 day FREE trial.
About You

Let's start with some basics about you
Full Name*

First NameLast Name
Phone Number*
E-mail
example@example.com
Where are you located?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*
Ethnicity*
This information helps us with matching you to advisors/mentors with similar backgrounds.
Race*
This information helps us with matching you to advisors/mentors with similar backgrounds
Which of these do you identify with? (only used for matching)*

International StudentFirst in your family to go to collegeImmigrant or child of immigrantNone of these
Degree currently pursuing or recently graduated from*
Graduation Year*
Major / Area of Study? Select closest option.*
College or University Currently Attending*
Type NA if not currently in college
LinkedIn Profile
Elevator Pitch - in less than 60 words, tell us who you are
Your Interests

Tell us about what you're interested in
Opportunity Interested In*

InternshipFull-Time JobPart-Time JobOther
Industries of Interest*
Professions of Interest*
Dream Company to Work For
What goals do you want to achieve by joining LiftHER Career?*
Are you interested in being referred to an employer partner for an internship or full time role?
If you are interested in being referred to an employer, which role(s) are you interested in?
Referral Code
How did you hear about us?*
Please Specify*
Select a Membership
prevnext( X )
CareerCafe Membership - Bi-Weekly Meetings1 meeting every other week with a LiftHER (mentor)
($0.00 for 10 days, then $49.00 for 1 months)



CareerCafe Membership - Monthly Meetings1 meeting per month
($ Freefor 10 days, then $29.00 for 1 months)



CareerCafe Membership - Weekly Meetings1 meeting per week
($ Freefor 10 days, then $89.00 for 1 months)
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About You

Your Interests