ORVBDP Application

Ohio River Valley Business Development Program 2.0 Application

Please answer these questions to the best of your abilities.
Date*

MonthDayYear
Company/Organization Information
Company/Organization Name*
Company Representative Name*
Company Representative Position*
Business/Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Certifications*
Industry*
Years in Business*
# of Employees*
Revenue/Sales Size*
Do you have a business plan?*
Financial Statements

Company PreparedCompilationAudited
Do you use any accounting software? If so, what type?
Do you have an accountant?*

YesNo
Do you have an attorney?*

YesNo
What percentage of your company is women owned?*
What is your preferred mailing address?*

WorkHome
What is the nature of the business/organization?*
Personal Data
Name*

First NameLast Name
Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Day Phone*

Area CodePhone Number
Evening Phone

Area CodePhone Number
Fax Number

Area CodePhone Number
Note: The information below is to be completed by the company if a second individual is applying for the Program.
Name

First NameLast Name
Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Day Phone

Area CodePhone Number
Evening Phone

Area CodePhone Number
Fax Number

Area CodePhone Number
I understand the purpose of ORVBDP 2.0, and if I become a participant, I will devote the time and energy necessary to make it a successful experience.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Questionnaire

Please answer this questions in your best of your habilities.
1. What do you consider your most important accomplishment to date? Why? What leadership role did you play?*
2. What do you consider to be your company’s most critical challenge and what do you think should be done about it?*
3. Why should you be selected for the ORVBDP 2.0?*
4. What outcomes do you expect to gain from this business development experience? List three (3) things in order of importance to you. Explain.*
5. Would you be willing to provide updates regarding how your business is doing in upcoming years to track company growth, including revenue growth, number of employees, contracts received, funding received, etc.?*
6. What personal strengths, characteristics or capabilities will you bring to the experience that may be of value to the other participants? What would you like to learn from other business owners?*
Upload Financial Statements

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ATTENDANCE REQUIREMENTS

All participants are expected to attend all sessions. Those who miss two (2) or more sessions will be denied graduation and asked to withdraw from the Program. Tuition will not be refunded. WBEC ORV reserves the right to change the Program dates if required for the success of the Program. Current Program dates are indicated in Letter of Instructions.
Are you willing and able to fulfill the required time commitment, including the two (2) hours of one on one coaching per month?*

YesNo
Out of class assignments will be required as part of the class participation, which will require an additional time commitment. Are you willing and able to contribute the time needed to fulfill this assignment?*

YesNo
TUITION

Tuition of each participant is $1,850.00 and $1,350.00 for second individual from the same company. Full tuition for accepted candidates will be due prior to the completion of the Program.
Please indicate how you plan to pay your tuition (if combination, indicate amounts):*
Payment Options*

CashCheckMoney OrderCredit Card
I understand the purpose of the ORVBDP 2.0, and if I am selected to be a participant, I will devote the time, energy, and finances necessary to make it a successful experience.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Please verify that you are human*
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Ohio River Valley Business Development Program 2.0 Application

Company/Organization Information

Personal Data

Questionnaire

ATTENDANCE REQUIREMENTS

TUITION