Business Boot-Camp Application

Business Boot-Camp Application

For questions about this application, please contact Thomas Irwin at thomas.irwin@servantpartners.org or Bryan Cullison at bcullison@worldimpact.org
Section 1: About You
Name?*
Email*
example@example.com
Phone Number*

Area CodePhone Number
PhoneEmailOther
Have you been referred by a partner organization? If so, please let us know the name:

Section 2: Your Business
Yes, I have started oneNo, it’s just an idea
If you have one, what is the link to your business website?
Tell us more about your business*

0/2000
Tell us more about your business idea*

0/2000
Are there any specific issues your are currently trying to overcome in starting or running your business?

0/2000
Briefly describe what makes you interested in the class*

0/2000

Section 3: Your Commitment
The Seminar will be held for two weeks on Tuesdays from 6-8:00 pm.

The dates are October 8 and 15th

The location will be at the CAST Office (exact address is secure)
Tuesday October 8thTuesday October 15th
We usually like to talk to participants, either in-person or over the phone before the class starts to help us get to know you and set expectations from the class
When would be the best time of day for you to meet/talk to us?*
Mon-FriWeekends
YesNoOther
YesNo, I need a Scholarship

Section 4: Scholarship

We have a limited amount of scholarship funds to give out. Our hope is that no one not attend the class due to financial need
Briefly describe your family's situation?*
Do you have spouses/children/extended family members that rely on you for income?
What was your family's income in 2018?*

Section 5: Last Comments
Anything else we should know about your business? Anything that may help or hurt your participation in the class? Any questions for us?
Please verify that you are human*
Should be Empty:

Section 1: About You