Application Form

Thank you for your interest in joining our next She's Back! workshop kindly sponsored by EY.

Please fill out this form to tell us more about yourself. We will be in touch as soon as the details about the workshop have been confirmed.

Melanie Fieseler
Director, Work Happy Mums
www.workhappymums.com


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* 1. Name

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* 2. Email address

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* 3. Occupation

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* 4. Company

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* 5. Role

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* 6. What date are you due to return to work, or if you have already returned to work, when did you start?

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* 7. What is your biggest challenge/ concern when it comes to returning to work? You can choose more than one option.

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* 8. Why would you like to attend the workshop? What are you hoping to get out of it?

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