SPARK APPLICATION 2023
We welcome you to join us for the 18th SPARK Business Accelerator cohort.   The mission has always been To cultivate the entrepreneurial capacity of women with a combination of personal education, business training, and ongoing professional mentoring to sustainably advance beyond socio-economic boundaries and achieve self-sufficiency.

SPARK is a 8-week course that meets in person weekly beginning September 11th and ending November 6th, 2023. Class meets on Monday evenings from 6:00pm to 8:30pm. Homework assignments will require an additional 4-6 hours of work per week.

* All information that you provide will be confidential.
First name: *
Last name: *
Date of Birth: *
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Street Address: *
City: *
State: *
Zip: *
Home phone number:
Cell phone number:
May we text your cell phone?
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Email: *
In case of an emergency, who should we contact? Please provide their name, relationship to you, and their phone number. *
Marital status:
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Who lives in your household? (List children and their ages and other relatives or friends who live with you.)
Primary language spoken at home ?
Do you have a good support system at home?
Estimated annual household income: *
Your estimated annual income (not including spouse/partner or other members of your household.): *
Do you own your home? *
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