Your Name/Owner Name
*
First Name
Last Name
DOB
*
MM
DD
YYYY
Age
*
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Primary Email
*
Business Name
*
Business Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Business Email
Business Website Link
How did you hear about Inspired Entrepreneur?
*
Referred by a friend
Instagram
Facebook
LinkedIn
Other
If someone referred you, put their name here. If not, just leave it blank.
How long have you been in business?
*
Not Launched
0-1 year
1-5 years
5-10 years
10-15 years
15+ years
Date Established
MM
DD
YYYY
Legal Structure of your Business
*
Sole Proprietorship
Partnership
Corporation
S Corporation
Limited Liability Company (LLC)
I'm not sure
Business Ownership
*
Female Owned (100%)
Female Owned (at least 51%)
Minority Owned
Veteran Owned
Identify if your business is located within one of the following Franklin County areas:
*
Franklinton
Hilltop
Near East
Old Town East
South Linden
Wyland Park
Other
If other, please specify
Briefly describe your business
*
What are your top 3 biggest challenges?
*
Do you have any of the following?
*
Business Plan
Marketing Plan
Both Business and Marketing
In Process
What do you hope to achieve through this program?
*
Total Household Gross Income
*
Number of Persons in Household
*
Inspired Entrepreneur Rules of Participation
*
1. Treat all other participants with respect.
2. Confidentiality: All information shared in the Inspired Entrepreneur program is confidential. Sharing another business’s proprietary information or another business owner’s personal information without that person’s documented consent is prohibited.
3. Participation: Attendance and participation in the classes as well as the mentoring sessions are required.
a. Attendance: Minimum of 80% of sessions
b. Participation: Minimum of 95% of homework completion
c. Sessions will begin and end as scheduled. It is the individual participant’s responsibility to inquire about missed material.
4. Participants may not use the Inspired Entrepreneur program to sell or promote their products to other participants. Additionally, participants may not directly market to (via mail, online, email, or other channels) without the consent of the other participants.
5. By agreeing to these terms, you grant the WSBA permission to use your name, company name, and digital image for promotional purposes, including but not limited to:
a. WSBA media releases
b. Marketing materials
c. The WSBA website
I have reviewed the rules above and agree to abide by them as part of my participation in Inspired Entrepreneur. I also understand that failure to abide by the rules may result in dismissal from the program.
Thank you for applying to the Inspired Entrepreneur Program.
Next Steps:
A representative from the WSBA will reach out to schedule a Discovery Call. This call, lasting approximately 20-30 minutes, will help determine the program that best suits your needs and the current stage of your business.
