WMI Application - Workmatters

Your Name
First Last
Company/Organization*
Job Role/Title*
How many people do you influence at work?
Direct Influence*
I.e. direct reports, team members.
Indirect Influence*
I.e. coworkers that you regularly connect with, people who report to your direct reports, customers.
Other*
I.e. small group members, close friends, ministry team.
Email*
Phone*
Date of Birth*
T-Shirt Size*
Address*
Street Address Address Line 2 City State ZIP Code
Which class are you applying to?*
Were you referred to the Workmatters Institute by an individual or organization?
- Yes
- No
Name
Email

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Program Requirements*
Participation in the Workmatters Institute requires a significant amount of time and energy. (2 hours in class and 2-3 hours of preparation outside of class each week) Are you committed to being prepared each week?
- Yes
- No
Financial Assistance*
The standard tuition is $1,000, which covers all materials and expenses. Are you planning on applying for need-based financial assistance?*
Financial Assistance - More Detail*
If yes, please explain. Workmatters will follow up with specific Financial Assistance materials.

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Character Reference
Your character reference needs to be someone who can vouch for your character and spiritual maturity. Ideally this is someone who has insight into your spiritual leadership (pastor/elder, etc.)
Character Reference First Name*
Character Reference Last Name*
Character Reference Email*
Character Reference Phone*
Work/Supervisor Reference
Your work reference can be from a past (within last two years) or present employer and should be someone who can speak to your professional life and contributions.
Work/Supervisor Reference First Name*
Work/Supervisor Reference Last Name*
Work/Supervisor Reference Email*
Work/Supervisor Reference Phone*

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How many people do you influence at work?