Y.E.S.! Mentorship Application

GENERAL:

Full Name

Phone *

Email *

Date of birth

School/Institution (if applicable)

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Entrepreneurial Background

Do you currently own or operate a business? (Select one) *

Yes

No

If yes, what is the name of your business?

Describe your business idea or current venture (if applicable):

How long have you been working on your business idea?

Less than 6 months

6 months – 1 year

1-3 years

More than 3 years

What inspired you to pursue entrepreneurship?

Goals and Vision

What are your primary goals for joining this program?

Where do you see yourself and your business in the next 1-3 years?

What impact do you want your business to have on your community or the world?

Program Commitment and Availability

This program requires a commitment to attend mentorship sessions every other Saturday and participate in weekly activities. Are you able to commit to this schedule?

Yes

No

Unsure

If unsure, please explain:

How would you describe your level of commitment to this program?

Fully committed and ready to give my best.

Interested but have other commitments.

Curious and exploring entrepreneurship.

Additional Information

Do you have any additional support needs (e.g., accessibility accommodations)?

Who has been your biggest inspiration as an entrepreneur (if any)? Why?

How did you hear about this program?

Social Media

Referral

School/Community Organization

Other:

If other exlpain (if applicable)

Consent and Agreement

By submitting this application, I confirm that the information provided is accurate and complete. I understand the time commitment and expectations of the program.

Signature *

Clear

Date

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Entrepreneurial Background

Skills and Strengths

Goals and Vision

Program Commitment and Availability

Additional Information

Consent and Agreement