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TEN Boot Camp Program Application

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

Boot Camp 1 April 23 & 24
Boot Camp 2 May 14 & 15
Boot Camp 3 May 28 & 29
Boot Camp 4 June 11 & 12
Final Presentation Day - June 30

If accepted, you will be notified by April 6^th.

Companies accepted into TEN pay $495.00 in membership dues.
Payment can be mailed to The Entrepreneurs Network,
ATTN Jean Kase, 50 West Main Street, Suite 8100, Rochester, NY 14614. The 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) *

Your Business Plan *

Upload one or more of the following documents: ○ Business Model Canvas ○ Business Plan ○ Executive Summary ○ Investor Pitch Deck
Files must be less than 50 MB.
Allowed file types: jpg jpeg png pdf doc docx pptx rar zip.

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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