REGISTRATION SESSION 15
BLK WOMEN IN EXCELLENCE SOCIETY
PROGRAM: 16 WEEK IGNITE PROGRAM
START DATE- Jan 21, 2025
TODAY'S DATE
/
Month
/
Day
Year
Date
LOACTION: VIRTUAL ON ZOOM- Time: 6:30PM to 9:30pm AST
NAME
CONTACT #
FULL ADDRESS
EMAIL
example@example.com
AGE
DO YOU HAVE CHILDREN? HOW MANY AND AGES
MARTIAL STATUS
EDUCATION LEVEL
DO YOU CURRENTLY OPERATE A BUSINESS?
IF SO IS THE NAME RESERVED OR REGISTERED?
IF SO, WHAT TYPE OF BUSINESS?
IF NOT, WHAT ARE YOU LOOKING TO START?
IN THE PAST HAVE YOU ENGAGED IN BUSINESS?
DO YOU HAVE ANY FAMILY OR PEER SUPPORT?
WHAT IS THE PUPOSE FOR YOU TO ATTEND THE WORKSHOP?
DO YOU HAVE A BUSINESS IDEA?
WHAT AREAS IN BUSINESS ARE YOU STRUGGLING WITH?
*
HAVE YOU HAD ANY OTHER BUSINESS TRAINING OR WORKSHOP EXSPERIENCE?
*
CAN YOU COMMIT TO ZOOM, WITH NO DISTRACTIONS ? TUESDAYS 6:30PM to 930PM
*
ARE YOU ABLE TO COMMIT TO ATTENDING WORK SHOPS WEEKLY FOR THE 16 WEEK PERIOD?
*
(THIS IS MANDARTORY AFTER MISSING TWO CLASES YOU WILL BE REMOVED FROM THE WORKSHOP )
WHAT INFO ARE YOU LOOKING TO GET OUT OF THE WORKSHOP?
Upload Headshot
Browse Files
Drag and drop files here
Choose a file
Cancel
of
THERE IS A 100 $ DEPOSIT FOR THE PROGRAM, WHEN YOU SUCCESSFULLY COMPLETE 16 WEEKS AND MENTOSRHIP INIATIVE YOU WILL RECIEVE 100$ BACK. IF YOU DO NOT COMPLETE ENTIRE PROGRAM YOU FORFEIT THE 100$ . IT WILL NOT BE RETURED! YOUR REGISTRATION IS NOT COMPLETE WITHOUT PAYMENT. blkwomeninexcellence@gmail.com where payment is to be sent to
Do you agree to the terms with regards to the deposit of 100$?
*
Yes
No
Submit
Should be Empty: