Fill-out our interest form for our UPPN Connector program!
Please enter your FIRST NAME


Cell Phone #

Date of Birth (MMDDYYYY) *

Home Zip Code (5 digit zip code) *

Work/Business Zip Code (5 digit zip code) *

Which of the following categories best describes your employment status?

Where are you currently employed?

Which of the following best describes your current job level?

How many years experience do you have in your current line of work? *

Why does the UPPN Connector position appeal to you?

What are your immediate professional goals?

Where do you see yourself in five years?

What strengths/background do you possess that would serve beneficial as a UPPN Connector?

The UPPN Connector position requires a regular attendance of 2 after work events per month. Can you fulfill this commitment?

Please provide your LinkedIn profile address. (

Thank you for your interest in becoming a UPPN Connector. You are very important to us. All information received is completely confidential. Our team will review your submission.
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