PowerUp Application Page – North Street Group LLC

Name *

First

Last

Email *

Phone *

Title *

Company *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Are you available to participate in all three in-person sessions? *

* September 22 – 24, 2025 * November 17-19, 2025 * February 2-4, 2026 *

** Participants are required to attend all three sessions. Please contact charity@northstreetgroupllc.com with questions. **

Purpose Statement *

Please provide a short statement on your reasons for wanting to join the program. (200 words maximum)

Current CV *

Click or drag a file to this area to upload.

Please provide a current CV. (pdf only)

PowerUp Application Fee *

Non-refundable. Applied towards registration fee.

Total

$0.00

Credit Card *

Powerup Application