2025 WORKSPACE REGISTRATION
Registration is first-come, first-served.
I am registering for
*
Please Select
Myself
An employee
I am sponsoring someone
Full Name
*
First Name
Last Name
Pronouns
Please Select
She/Hers
He/Him
Them/They
Name only
Peter not to disclose
Phone Number
*
Email
*
example@example.com
Age
*
Education
*
Please Select
Some high school
High school graduate
Some college, no degree
Trade/Technical/Vocational Training
Associates Degree
Bachelor's Degree
Master's Degree
Professional Degree
Doctorate Degree
Company
*
Title
*
Please select your t-shirt (unisex) size.
*
Please Select
X-Small
Small
Medium
Large
X- Large
2X
3X
4X
What is your biggest professional roadblock?
*
Note "N/A" if completing for employee.
What do you hope to gain from your WorkSpace experience?
*
Note "N/A" if completing for employee.
Payment
*
prev
next
( X )
Workspace Registration
WorkSpace is a one-of-kind, 4-month professional development and leadership program equipping Black Gen Z and millennial emerging female leaders in Central Ohio with the vital resources, access, tribe of support and glass-breaking confidence needed to advance and accelerate their careers.
$
400.00
Quantity
1
2
3
4
5
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
How did you hear about Workspace
*
Please Select
Instagram
Facebook
LinkedIn
Email
Employer/Co-Worker
Online search
Friend
Other
Submit
Should be Empty: