Let’s work together Please complete this form and we will be in touch shortly! Name * First Name Last Name Email * Phone (###) ### #### Do you identify as a member of the black race? * Yes No Do you live in Canada? * Yes No Do you fall within the age group, 18 to 30 years? * Yes No What part of the Work & Wellness program is of interest to you? * Work Wellness How did you hear about us? * Instagram LinkedIn YouTube Friendly Referral IMDOINGIT Community Other How can we help? * We will contact you with more details. Thank you!
