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Women’s Business Accelerator Application

Please fill out all information in this application and hold the following dates on your calendar:

September 26 and 27
October 17, 18 and 31
November 1 and 21
December 5 and 19

Jean Kase, Executive Director of TEN, will call you in August for a phone interview.
If accepted, you will be notified by September 6.

You will need to send a $495 check by September 13th to Jean Kase, The Entrepreneurs Network, 50 West Main Street, Suite 8100, Rochester, NY 14614. The class fee is non-refundable.

First Name *

Last Name *

Company *

Phone *

Street Address *

P.O. Box

City *

County *

Zip *

Email *

Website

Date Company Established *

Month

Day

Year

Type of Company (Sole Proprietor, LLC, Corporation) *

Number of Employees *

Number of Shareholders *

Past 12-Month Revenue *

Anticipated 12-Month Revenue *

Describe Your Company (100 words or less) *

Describe Your Products and Services (100 words or less) *

Describe Your Customers and Markets (100 words or less) *

What do you want to get out or the Women's Business Accelerator? (100 words or less) *

How did you hear about the Women's Business Accelerator? *

Please upload a headshot that will be used in the class roster if you are accepted *

Files must be less than 50 MB.
Allowed file types: jpg jpeg png.

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