Second Act Entrepreneur Program Application - 50+ Business Builder Group

Second Act Entrepreneur Program Application - 50+ Business Builder Group
Thank you for your interest in the “Second Act Program”!

We are excited to work with you to develop, launch and grow your small business. By applying for this program, you agree to fulfill all the requirements of Innovative Business Solutions “Second Act" Aspiring Entrepreneur Program” as outlined below.

Our goal is to assist you with developing and growing the business of your dreams. We cannot do so unless you fully commit to the program. If you do, our commitment to you is to listen, assist with developing and monetizing your business, and holding you accountable for implementation (including sales activity

Please Note: Completing the application is no guarantee that you will be accepted into the program. Upon acceptance you will be notified via email.

As a component of the application process, you will have to participate in an interview with your coach.
I confirm that I am 50 years old or older*
Please type your initials
I confirm that I have a desire to develop and launch or grow my business concept.*
Please type your initials
I commit to a group attendance of 80% or better. *
Please type your initials
I commit to completing all assignments and reading all chapters in advance.*
Please type your initials
I commit to participating and supporting my fellow program participants*
Please type your initials
Name*

First NameLast Name
Personal Email Address*
example@example.com
Cell Phone*
Company Name (if applicable)
Company Address
Address 1
Address

Address 2

Street Address Line 2

CityState / Province

Postal / Zip Code
State/Province
Zip/Postal Code
Company Email Address if applicable
example@example.com
Company Phone if applicable
How Long have you been in business?

A few monthls1 year2 or more yearsNot launched yet
Legal Structure of your business (if applicable) i.e, LLC, Sole Proprietorship
Enter structure
Briefly describe your business or business idea.
What have been your top 3 challenges to launch or grow your business?
What are three outcomes you would like to achieve through this program?
Do you have any of the following

Business PlanMarketing PlanBusiness Plan in processMarketing plan in process
I agree to participate in an interview as a component of this application.
Please type your initials
Telephone number where I can be reached
Please enter your telephone number
Best time to call

Morning (9-11am)Afternoon (12:30 - 3:30)Evening (5:00PM - 7:00PM)Other
Your Time Zone
I agree to give Innovative Business Solutions permission to use my name and a professional photo in an Innovative Business Solutions media release, marketing, and the Innovative Business Solutions website for the purpose of promoting Innovative Business Solutions and its programs. However, no proprietary information will be used. By signing this application, you are giving the Innovative Business Solutions permission to use the information described above.
Please type your name in the above box
I agree to sign a non-disclosure/confidentiality agreement.
Please type your name in the above box
Signature

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Date
Printed Name
Date

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