2023 ELEVATE Application

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About You

Your Name(Required)

First Last

Preferred Phone(Required)

Preferred Email(Required)

What is your race/ethnicity?(Required)

American Indian or Alaska Native

Black or African American

Asian

Native Hawaiian or Other Pacific Islander

Hispanic/Latinx

Other (please specify below)

What is your racial identify if you selected "Other" above?

About Your Business

Your Business Name(Required)

Business Address(Required)

Street Address Address Line 2 City ZIP Code

Business Website

Business Industry(Required)

Please provide a brief description of your business:(Required)

What month and year did you start/buy your business?(Required)

Are you the 100% owner of your business?(Required)

Yes

No (please answer the question below)

What percentage of your business do you own (if you answered "no" to the question above)?

Number of full-time employees:(Required)

Number of part-time employees:(Required)

Estimated annual revenue from last calendar year?(Required)

What do you hope to gain by participating in the ELEVATE program in partnership with Jandernoa Entrepreneurial Mentoring (JEM)?(Required)

Have you had mentor(s) in your business career before and, if so, how did this help you?(Required)

Comments/Questions

Please let us know if you have any questions for our team.

Your Comments/Questions:

Submission

You will be notified by a member of our team regarding your acceptance to the program by early April. By clicking the submit button below, you are confirming your application information is correct above. Questions? Please contact Megan Steenwyk at megan@grandrapids.org or 616-771-0310.

Elevate Application

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