Hello I Am An Entrepreneur

Prescreening Application Form

This simple participant input form allows us to get to know a little more about you and your business/entrepreneurial interests.

Name

Address

Phone Number

Current career / employment

Why are you interested in participating in this program?

What are your expectations of this program? What would you like to get out of it?

What areas of business would you like to focus on?

Any entrepreneurship training? If yes, please identify.

Any special skills or experience? Business Plans? Marketing? Product/Service Creation? Market Research? Budgeting? Operations? Management? Other?

Are you available to attend lunchtime workshops every two weeks for twelve sessions?

Yes
No
Unsure

This program will also have some assignments for participants. Are you prepared to undertake them?

Yes
No
Unsure

If you are already in business, please tell me about it - website, years in business, description of your business (250 words max)

If you have been in business before, please provide a couple of paragraphs (250 words max) about your past experience

If you are just thinking about getting into business, please provide a couple of paragraphs (250 words max) about your idea and why you feel it would succeed

Other Notes and Comments

Please Note: Space in this program is limited. We will advise you as soon as possible if a seat has been reserved for you. Thank you.

Hello I Am An Entrepreneur

Prescreening Application Form

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