Black Achievers: Business Institute Application
Complete this form for the Black Achievers virtual Mergers & Acquisitions program!

Please reach out to michael.moore@blackachievers.com with any questions.
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Email *
What is your name? *
What is your cell phone number? *
What is your Linkedin profile link? (Put N/A if you don't have one) *
What city/state are you currently located? *
What is your work background? Industry etc. *
What do you hope to gain from your participation in our Business Institute? *
What type of business industries are you most interested in? (Check all that apply) *
Required
PARTICIPATION & COMMITMENT
I Agree that at least one team member will attend all program meetings: *
Thank you for taking the time to share your venture with us ! We look forward to discussing your application with our selection committee. You will be notified if you have been selected.
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