Please read the general terms & conditions below. If you are in agreement, sign where indicated.
Intake Form and information: I hereby submit this Intake Form ("Intake Form") to MBDA Enterprising Women of Color Business Center at YWCA O'ahu ("Business Center") for its review and consideration. I agree to: (1) provide additional information or complete any additional forms if needed for the services (such as non-disclosure agreements to protect any potential confidential information that may be shared among participants); and (2) cooperate should I be selected to participate in surveys designed to evaluate the Business Center's services. I understand that any information disclosed will be held in confidence. The Business Center will not provide my personal information to commercial or third-party entities, unless required to by U.S. Department of Commerce Minority Business Development Agency ("MBDA") laws, rules, regulations or grant requirements.
Authorized individuals/entities: I hereby authorize the Business Center to furnish relevant information to authorized Business Center employees, independent contractors or agents, as well as MBDA. I further understand that Business Center employees, independent contractors and agents agree not to: (1) recommend goods or services from sources in which he/she/it has an interest; and (2) accept fees or commissions developed from this Business Center relationship if it is within the scope of his/her/its work with the Business Center.
Waiver; Own Due Diligence; No Warranties: In consideration of YWCA O'ahu, the Business Center, MBDA and/or the Business Center's third-party resource partners/collaborating organizations (including but not limited to their respective employees, independent contractors, volunteers and agents) offering/furnishing referrals, training, management or technical assistance, I waive all claims, causes of action, demands and damages (including but not limited to general, compensatory, special, punitive and consequential damages) of any type or kind, whether known or unknown at this time, against YWCA O'ahu, the Business Center, MBDA, third-party resource partners/collaborating organizations (including but not limited to their respective employees, officers, directors, boards, independent contractors, volunteers and agents) arising from, related to or in connection with the referrals, training, management, counseling, referral or technical assistance offered/provided. There are no express or implied promises or warranties of any kind (including but not limited to warranty of merchantability or fitness). I understand and agree that the assistance is provided on an as-is basis; and I will conduct my own due diligence to determine the suitability/appropriateness of the assistance for me or my business.
No Representations or Professional Services Provided: I understand and agree that the Business Center does NOT represent me or my business, as such, the referral, assistance and/or counseling provided is for informational purposes only and provided for convenience only. NO professional services are provided to me or my business, including but not limited to professional accounting, financial, legal or business advice. I am solely responsible for the results or consequences of the course of action I may or may not choose to take based on the referral, assistance and/or counseling.
Use of Information: The information in this Intake Form is to be provided by individuals and business seeking training, management or technical assistance services from the Business Center. The information is collected to help the Business Center's continuing improvement of training, resources and counseling programs, to ensure effective oversight and management of entrepreneurial development programs and grants, and/or to meet reporting requirements.
Electronic Signature: I agree that I have provided information to the best of my knowledge. I consent and agree that my use of a key pad, mouse or other device to select an item, and submit this Intake Form constitutes my signature, acceptance and agreement as if actually signed by me in writing. Further, I agree that no certification authority or other third-party verification is necessary for the validity of my electronic signature; and that the lack of such certification or third-party verification will not in any way affect the enforceability of my signature with respect to this Intake Form. This Intake Form shall be governed by and interpreted under Hawaii and federal law.