Diversity & Inclusion Scholarship Application Preflight Session 2 of 2021 | May 24 - August 23
Hello! We are excited for your interest in receiving a Diversity & Inclusion Scholarship at the Nashville Entrepreneur Center. We will award a total of 7 scholarships to entrepreneurs that fall within the categories of: woman founder, founder of color, foreign-born founder, student founder, LGBTQ+ founder and veteran founder. Applications close on May 9th at 11:59pm CT.
Your Information
What Is your name?
*
First Name
Last Name
What is your email?
*
example@example.com
What is the best number to reach you on?
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Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Nonbinary
Rather Not Say
Do you identify as LGBTQIA+?
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Yes
No
Rather not say
Ethnicity
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic or LatinX
Native Hawaiian or Pacific Islander
Middle Eastern
Multi-racial
Other
Rather Not Say
White
Employment Status
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Full-time employed for wages
Part-time employed for wages
Self-employed
Out of work and looking for work
Out of work but not currently looking for work
A homemaker or full-time family caregiver
A student
Military
Retired
Highest Level of Education Completed
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No Schooling
High School- No Diploma
High School Graduate- Diploma or GED
Some College Credit- No Degree
Trade/technical/vocational training
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
What is your annual household income?
*
Under $25,000
$25,001-$50,000
$50,001-$75,000
$75,001-$100,000
$125,001-$150,000
Prefer not to say
Are you now or have you ever served as a member of the United States Armed Forces?
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Yes
No
Discharge status:
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Honorable Discharge
Other Than Honorable Discharge
Dishonorable Discharge
Actively Serving
Your PreFlight Scholar Application
Please select all scholarship categories listed below that apply to you:
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Founder of Color
Female Founder Scholarship
Student Ambassador Scholarship
Veteran Founder
LGBTQIA+
Foreign-Born Founder
Have you previously applied for a diversity scholarship at the EC?
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Yes
No
PreFlight class takes virtually over 14 consecutive Monday evenings from 5:30-7:00pm on Zoom from Monday, January 25 and culminating on Monday, April 26. Scholars must be able to attend at least 12 of 14 meetings. Barring unforeseen emergencies, will you be able to attend at least 12 meetings to remain in good standing. Barring unforeseen emergency circumstances, will you be able to attend at least 12 of the 14 PreFlight classes? Consider any already planned travel, standing childcare arrangements, work schedule, etc.
I will be able to attend all 14 PreFlight classes.
I will be to attend at least 12 of 14 PreFlight classes.
I will be able to attend 11 or fewer PreFlight classes.
Other
PreFlight registration provides seats for two registrants from each startup. Will someone be participating in PreFlight with you?
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Yes
No
Unsure at this time
Second Participant Name:
Second Participant Email:
What stage of development is your business/concept?
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Just an Idea
Pre Revenue
Annual Revenue Less Than $25,000
Annual Revenue $25,000-$50,000
Annual Revenue $50,000+
Please provide a 280 character description of the startup idea you'll be pursuing during the PreFlight Program.
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0/280
What have you put into developing this idea? For example, have you interviewed potential customers, written a business plan or put money into your business concept?
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0/100
What other entrepreneurship training or education experiences have you taken part in?
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Corner to Corner's Academy Program
Pathway Women's Business Center
SCORE Mentors Nashville
Arts & Business Council's Periscope Program
TSBDC's Small Business Bootcamp
Bunker Labs Cohort
Conexion Americas' Negocios Prosperos
Conexion Americas' Mesa Komal
Nashville Business Incubation Center training(s)
Classes through a university, college or community education program
I have not had entrepreneurship education or training yet.
Other
Where did you hear about this scholarship opportunity?
Another Website
At An Event
EC Entrepreneur or Advisor
EC Newsletter
Friend/Colleague Recommendation
Google Search
News Article
Print Ad
Social Media
Other
Submit
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