Form

Application Deadline: April 18, 2025
Program Runs: July - December 2025

First name*

Last name*

Email*

Mobile phone number*

Gender (optional)

Ethnicity (optional)

Business/organization name*

Website URL

What is your role in the business/organization?*

Please describe the nature of your business and the product or service you provide*

Briefly describe your journey as an entrepreneur and why you launched or want to launch your business?*

How long have you been working on your business or business idea?*

Do you have a written business plan?*

Yes

In Process

How much time do you spend working on your business?*

Less than 10 hrs/wk

10 - 20 hrs/wk

20 - 30 hrs/wk

30+ hrs/wk

If your business is a nonprofit, do you have your Internal Revenue Service (IRS) 501 C 3 ruling documentation?

Yes

What recent milestones has your business achieved?*

If your business is operational, what was your gross sales from the previous year?*

Identify the members of your team and the role of each member.*

Are you seeking investment, or plan to seek investment for your business? If so, how much and why?*

What is your biggest obstacle to growth right now?*

What do you hope to gain from being a part of the Entrenuity Accelerator?*

What other business coaching services have you received? Please include dates.*

Please check the Accelerator services below that you are interested in:

Accelerator Services*

Character, ethics, and leadership training

Meetings with industry experts

Plan to Launch 6-week business planning course

Budget forecast and planning

Bookkeeping services

Capital Matchmaker pitch events

Access to Mox.E events and workshops

Customer Relationship Management (CRM) software

Social media support

Copy of IRS documentation attached.

Attach a copy of Certificate of Good Standing

Attach last year's financials (1).

Attach previous year's financials (2).

Attach previous year's financials (3).

List Name/Email/Phone Number for Reference #1.*

List Name/Email/Phone Number for Reference #2.*

List Name/Email/Phone Number for Reference #3.*

Participants in the Entrenuity Accelerator are required to pay a monthly program fee. Thanks to our generous sponsors, we are able to offer the program at a substantial discount. The monthly fees, ranging between $500 and $1,500, are determined based on individual business assessment and are payable via ACH transaction only.

I acknowledge I will be required to pay a monthly fee via ACH transaction for participation in the Entrenuity Accelerator.*

Application Deadline: April 18, 2025Program Runs: July - December 2025

Please check below to insure you receive EAC follow up communications.

Application Deadline: April 18, 2025
Program Runs: July - December 2025