ATHENA PowerLink Application

APPLICATION

ATHENAPowerLink® Jacksonville (APL) is a hyper-connected business mentoring program designed to increase the growth and profitability of women-owned businesses. A panel of volunteers, powerful members of the local business community, is linked with a woman business owner to act as mentors and advisors for one year.
DOES YOUR BUSINESS QUALIFY?

To qualify for selection as an ATHENAPowerLink® Jacksonville Business Owner, a business must meet the following criteria:
- Is at least 51% owned and actively managed by a woman or women.
- Has been in business for a minimum of two years.
- Has a minimum of two full-time employees (including the owner) or a number of part-time employees whose total work hours add up to two full-time positions.
- Has annual revenues of at least $250,000 for retail or manufacturing businesses, or at least $100,000 for service businesses.
- The owner must have clearly defined objectives and specific reasons for seeking an advisory panel.
ATHENA PowerLink Terms and Conditions
GENERAL INFORMATION
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Business Name *
Business Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Company Website *

BUSINESS QUESTIONS
Briefly describe your company, its products and/or services. *
Briefly describe your short and long term goals that you have for your business. *
Briefly explain how you envision an ATHENAPowerLink® Advisory Panel will help your company reach its goals and priorities. *
Is there anything the ATHENAPowerLink® program should know about your business? *
You can upload your Capability Statement, Org Chart, Business Model Canvas, etc.

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SIGNATURE CONFIRMATION

The information contained in this application is provided for the purpose of applying for an unpaid advisory panel provided through the ATHENAPowerLink® program. Any information submitted is considered confidential and will not be disclosed except for purposes of determining program qualification.

I understand my application will be reviewed by the Governing Body who will decide if my acceptance or non-acceptance into the program. By entering your name below, you represent that the information provided is true and complete.
Name *

First Name Last Name
Signature *

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APPLICATION