Black Achievers: Business Academy Application
Complete this form to enter the selection process for the Black Achievers virtual pre-accelerator 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's the name of your Venture/Company name? *
What is your website address? If you don't have one yet put N/A. *
What city/state are you currently located? *
Why did you start this venture ? What excites you about it ? *
How is your business legally organized (Sole Prop, LLC, C Corp, Nonprofit ...) ? *
YOUR COMPANY ELEVATOR PITCH
Explain your business model in 100 words or less ! *
What do you hope to gain from your participation in our Business Academy? *
TEAM
Who comprises your team (names and roles) ? *
Tell us about your team ! Education, Years of experience, how you joined forces, etc. *
TRACTION
What is the next step for your venture ? (Check all that apply) *
Required
MARKET NEED AND VALIDATION
Describe the problem you are solving: *
How does your business uniquely solve this problem ? *
Who is your customer ? *
How many customers do you currently have ? *
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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