JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Waitlist: BLOOM Mentorship Program
Welcome to the BLOOM Mentorship Program's intake form. This is your stepping stone to a journey of transformation and growth. Applications are open from December 1st, 2023, to January 31st, 2024.
By providing the details below, you'll reserve your place on our waitlist and be among the first notified when enrollments start.
The program is slated to start on April 1st, 2024.
Let’s bloom together!
* Indicates required question
Email
*
Record my email address with my response
1. First & Last Name
*
Your answer
2. Business Name
*
Your answer
3. County Business is Registered In
(if business is not registered with state, select county you reside in)
*
Hennepin County
Ramsey County
Anoka County
Dakota County
Washington County
Other:
4. Business Stage
*
Idea-Stage (Unregistered and/or Pre-Launch)
New Venture (Registered with State, Pre-Launch and/or Pre-Revenue)
Current Business Owner (1+ Years)
5. Business Type
*
Consumer Produced Goods (CPG)
Service-Based
Technology
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Led by TRUTH.
Report Abuse
Forms
