The Inspired Entrepreneur Application

Thank you for your interest in The Inspired Entrepreneur Program! Please complete this application to help us get to know you and your business, as well as how to contact you.

 

Please complete the form below

Name *
Name
Phone *
Phone
Race
Date Established
Date Established
Business Address
Business Address
http://
$
Aerospace Agriculture Chemical Computer Construction Defense Direct Selling Education Energy Entertainment Financial Services Food Government Healthcare Hospitality Information Manufacturing Media Mining Nonprofit Telecommunications Transportation Water Other
2017
$
2016
$
(Please attach this plan with your application, if applicable)
(Please attach this plan with your application, if applicable)
I understand that by signing below, I am agreeing to the terms of The inspired Entrepreneur Program facilitated by the Women’s Small Business Accelerator, Inc. I also understand that the WSBA does not perform any tasks on behalf of or for program attendees. As a program attendee I take full responsibility and liability for the implementation of any feedback. Completion and submission of the application is merely a request for entrance into the Inspired Entrepreneur Program, and not a guarantee of acceptance. Information provided in this form helps the WSBA understand the audience we address and will be kept strictly confidential within WSBA and its partner organizations and evaluators. Additional terms:  The program participation fee is $1,500 for the 20-week program, which will be charged automatically once we secure a spot for you.  All participants will be required to sign a non-disclosure/confidentiality agreement.  All participants and volunteers will be required to give us permission to use their name, company name and a professional photo in a WSBA media release, marketing, and the WSBA website for the purpose of promoting WSBA and its programs. However, no proprietary information will be used. By signing this application, you are giving the WSBA permission to use the information described above.
The Inspired Entrepreneur Program Fee
1,500.00

By completing this form it confirms your permission for the Women’s Small Business Accelerator to charge your credit card $1,500 non-refundable fee at the start of your participation in The Inspired Entrepreneur Program. If you have any questions, please call us at 614-414-2449 or email us at admin@wsbaohio.org.

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