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• My name is

  My name is * First Last
• Email *
• Job Title *
• Confirm that this program has been discussed between manager and employee. *
  Confirm that this program has been discussed between manager and employee.

  Yes, my manager is aware Not yet
• Next Steps:
  We are so glad you are interested in joining us for this program. We will book intake meetings in the winter with both managers and employees to discuss the expectations of the program. We're looking forward to speaking with you!