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The 2017 Class has been selected. Please join us in the 2017 Gallery and apply for the 2018 Class

Application Form for Biz Owners Ed

5th Annual 10-Week Program Commencing January  2017

 

Please fill out the following form to be considered for Biz Owners Ed Class of 2017.  We look forward
to learning more about you and your company.

Name________________________________________________________________________________

                               

Company Name________________________________________________________________________

 

Address______________________________________________________________________________

 

City________________________________________  State_________  Zip________________________

 

Email_______________________________ Website:  _________________________________________

 

Phone (Office)___________________________(Mobile)_______________________________________

 Twitter ________________________________ Instagram ____________________________________

Other Social Media Platforms? ____________________________________________________________

What percentage of your business do you own?_____________________________________________

How long have you been in business?______________________________________________________

Annual Sales Revenue___________________________________________________________________

Number of Employees________________________  Number of Senior Staff______________________

Number of hours you work per week______________________________________________________

Number of days you spend traveling for work per week_______________________________________

Were you profitable in 2015?____________________________________________________________

Do you belong to any entrepreneurial groups/organizations (please list):_________________________

_____________________________________________________________________________________

Please describe your business and what it does or makes:

_____________________________________________________________________________________

_____________________________________________________________________________________

What are your key differentiators? What’s innovative about what you are doing?

_____________________________________________________________________________________

_____________________________________________________________________________________

What topics are you most interested in learning about and discussing during our 10-week program?

______________________________________________________________________________________
______________________________________________________________________________________

Comments:_____________________________________________________________________________

_____________________________________________________________________________________

 

Mail your application form to:  1277 Porter Rd, Flower Mound, TX 75022
OR fax it to 817-430-0853 attention Cari Schweichler
OR email it to Cari Schweichler at BizOwnersEd@gmail.com