“Women’s” Entrepreneurship Program Application

Program Overview: The program will provide women entrepreneurs with Business, Finance, Marketing and PR, Management education, Mentoring and Networking, and Access to capital. The program was founded by women in business who have navigated the entrepreneur space and believe in investing in women entrepreneurs.

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Email *
First Name
Last Name
Pronouns
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Email (Please do not use emails beginning with info@, admin@ or support@)
Business Name (The name listed on your Business Tax Return/ Articles of Incorporation etc.)
DBA (The name listed on your branding/ website etc.)
What is your official role/title in your business?
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Business Address - Street Number and Name
Business Address - Building/Suite
Business Address - City
Business Address - Zip Code
Work Phone
Cell Phone
Business Website
Date of Birth (Please use the mm/dd/yyyy format)
What percentage of the business do you legally own?
Year business was founded
Year you acquired ownership in the business
Number of Employees (Please count yourself and all other owners who work full time in the business)
What is you race/ethnicity?
Gender Identity
How did you hear about the Women's Entrepreneurship program?
Please describe your business and the products or services your business offers.(Please limit your response to 500 characters)
Briefly discuss why you are interested in the “Women’s” Entrepreneurship Program and what you expect to get out of it. How will it enable you to grow your business? (Please limit your response to 500 characters)
Signature (Type your name below)
Date
MM
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YYYY
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