GMEN Men Program Registration Form

Welcome to GMEN Men Registration

GMEN Men is a program by the Georgia Micro Enterprise Network (GMEN). The goal is to assist new and existing men with employment, employment retention, government contracts, mental health issues in business, continuing education for current entrepreneurs, self-policing our communities, creating a recession proof economy, and other issues pressing our communities. If you are a new or existing entrepreneur, we encourage you to sign up for this groundbreaking program. It is important to answer as many of the questions below and to provide as much detail as possible. Your answers will be used to best shape this program and will in no way be used against you. All answers will remain confidential. If you have additional questions, please contact our program manager, Erik Scott at erik@gmen.org. Please sign up for a free membership TODAY!
Please choose your preferred GMEN MEN event date from the options below:"*
Name*

PrefixFirst NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you a new or existing business owner?*
Name of Business?*
How long have you been an entrepreneur?*
How do you rate your entrepreneurial experience on a scale of 1-5 with 5 being highly skilled.*

1

2

3

4

5

1 is Worst, 5 is Best
What are some topics that you would like to know more about?*
What do you need assistance with the most?*
Should be Empty:

Welcome to GMEN Men Registration