Prep WERK Program Interest Form

Prep WERK Program Interest Form

Our mission is to empower the next generation through a comprehensive career prep bootcamp that equips youth with the tools, knowledge, and mindset to succeed.

Student Name

School / Location (City & State)

Student Grade Level (High School Only)

Phone Number

Email

Parent / Guardian Name

Parent / Guardian Email

Parent / Guardian Phone Number

School Name or Organization (if applicable)

School or Organization Representative

Representative #

Representative Email

Which experience are you interested in participating in

Summer Bootcamp

6- Week Series

Monthly Program

I want to subscribe to the mailing list.

Prep WERK Program Interest Form