The ACC Youth Entrepreneur Experience
Application Form
Participant Name
*
First Name
Last Name
Participant Age
*
Ages 13-21
Participant Email Address
*
example@example.com
Participant Contact Phone#
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Name or Idea
*
Business Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Business Social Media (Link)
Examples: Facebook, Instagram, TikTok, Etc.
Product Category
Please Select
Apparel & Accessories
Bath/Body
Arts & Crafts
Pet Products
Home Decor
Books
Food
Other
Product Description
What are your Business Goals?
Upload Image of Business Products
*
Browse Files
Drag and drop files here
Choose a file
Maximum File Size 10854 KB
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of
Parent #1
*
First Name
Last Name
Parent #1 Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent #1 Email Address
*
example@example.com
Parent #2 Name
First Name
Last Name
Parent #2 Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent #2 Email
example@example.com
Are you available to attend ALL Saturday workshops (March 16, 23, 30, & April 6, 2024)?
*
Please Select
YES
NO
Select Yes or No
Are you available to participate in the Vendor Pop-Up Shop (April 20, 2024)?
*
Please Select
YES
NO
Select Yes or No
I, acknowledge that I will attend and finish all of the (4) Saturday Workshop Sessions and the Pop-Up Shop Market in order to receive the monetary stipend for participating in the ACC Youth Entrepreneur Experience
*
YES
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