EmpowerHER Business Accelerator
EmpowerHER Dreams, ElevateHER Business: Your Path to Business and Marketing Success Starts Here
Applicant Information
Help me get to know you better. I am excited to lead you through this transformational journey.
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Company Information
If you have more than one company, please focus on one for the duration of the program, you will be able to apply what you learn to your other ventures along the way. However, at this time I will be supporting your primary company for the program.
Name of Company
*
Work Industry
How Long Has Your Business Been in Operation?
About you
Population of Interest (Select all that apply)
*
Higher Education
K-12
Workforce
Private Practice
Other
# Years of Full-time Experience in Career Services
*
Why are you interest in the Program (600 words or less)
*
What are your top 5 expectations in completing this Program? (300 words or less)
*
Do You Have a Current Business Plan for Your Business?
Please Select
Yes
No
Attached PDF of Your Business Plan
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Payment Selection
You can save big by paying in full today, or select the convenient installment option.
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Full Price | January 2024 Program
$
3,000.00
Installments | January 2024 Program
First Payment Towards the Course (invoices will be sent for the remaining 3 payments.)
$
800.00
Full Price | EmpowerHer Plus (annual program with 3 Additional Quarterly Strategies)
$
4,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Installments Price | EmpowerHer Plus (annual program with 3 Additional Quarterly Strategies) 2
First Payment Towards the Course (invoices will be sent for the remaining 11 payments.)
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Entrepreneur Signature
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