SMART+ Saturday's Entrepreneur Spotlight Interest Form 2023-2024
Program Information:
Looking for an opportunity to EMPOWER and INSPIRE? The Smart+ Saturday's Program aims to connect our middle school students to local, San Francisco-based, Black Entrepreneurs/Business owners and merge them into our educational framework by hearing how you got started in your career and learning what it takes to create a successful business. For more information, please contact Samantha Vaing at Samantha@urbanedacademy.
Entrepreneur Information:
Full Name
*
First Name
Last Name
Business Name
*
What type of business?
*
Food, coffee, fashion, etc.
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Social Media (specify which platform)
*
Instagram, Facebook, Linked in or Website
How did you hear about us?
*
Social Media, Website, other
Please share you business mission statement/business bio:
*
Please share your community impact, support, and/or partnerships:
*
Please share a brief bio on yourself:
*
How would you like to support our program? (select all that applies):
*
Sponsor a field trip
Share your story/facilitate a workshop
Cater for a day
Other
Preferred Method of Communication
*
Phone Call
Text
Email
Would you like to receive our Programs newsletter?
*
Yes
No
Consent to photo or video images being used for promotional materials by UEA or organizations giving financial support to UEA.
*
I do consent
I do NOT consent
Participation VERIFICATION
Signature
*
Submit
Should be Empty: