YW Calgary Entrepreneurship Program Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
Your gender
*
Please Select
Female
Male
Non-Binary
Prefer not to share
Your pronouns
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select all that apply:
*
White
Black or African Canadian
Indigenous
East Asian
South Asian
Southeast Asian
Middle Eastern or North African
Latin American
Pacific Islander
Prefer not to answer
Other
Are you a newcomer to Canada?
*
Yes
No
What is your current occupation?
*
How would you rate your English proficiency?
*
Beginner
Intermediate
Advance
Fluent/Native
What other languages do you speak?
Can you commit to the required program hours? (Tuesday and Thursday 10:00 am - 12:30 pm)
Yes
No
Please submit your resume and attach it.
*
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Have you participated in a program similar to this before?
Yes
No
Is this an existing business?
*
Yes
No
When was your business established?
*
What is the name of your business?
*
Please describe your business idea.
*
What specific products or services do you offer or plan to offer?
*
Who are your target customers?
*
What evidence do you have to support the viability of your business, either existing or proposed?
*
Have you spoken with or surveyed potential clients about their needs? What feedback did you receive?
*
Identify specific trends that are present in the marketplace as it relates to your business.
*
Why will customers choose your product or service over the competition? How do you differentiate from others in the market?
*
For new businesses: What is the total amount of cash required to start your business?
*
For existing businesses: How much funding do you need to grow or pivot your business?
*
Where do you plan to source the required funding?
*
Describe what will you do with your funding?
*
Personal investment: What is your personal financial commitment to the business?
*
What motivates you to start or grow your own business?
*
What relevant skills or work experience do you have that will support your proposed or existing business?
*
In which areas do you need assistance to successfully start or grow your business?
*
Describe any personal constraints that might be a barrier to starting your business or continuing your business at this time
*
Are there any particular topics or areas of focus that you are particularly interested in learning more about during this program?
*
How did you hear about this program?
*
Is there anything else that you would like to share with us that you feel is relevant to your participation in this program?
Signature
*
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