<p> Brooklyn Business Mentoring Initiative Application</p><p>Instructions  Complete the following form and return it via email with any supporting documents to [email protected] by Friday, January 30th at 12:00 noon EST.  In the email subject heading include “Business Mentoring Application” with your FIRST and LAST NAME.</p><p> In order to be considered, applicants must show they are invested in their business by submitting at least ONE of the below items: </p><p> o Draft Business Plan </p><p> o Proof of at least $1,000 invested in the business (website design, etc)</p><p> o Proof of Business Registration</p><p>All business plans and supporting documents will be kept confidential </p><p>Personal Contact Information First and last name: Home Address: Telephone Number: Email Address:</p><p>Business Contact Information (if applicable) Business Name: Business Address: Telephone Number: Website: BUSINESS DESCRIPTION: Please provide a brief background of the business and a description of the business model. </p><p>ENTREPRENEUR BACKGROUND: Please provide a description of your professional background. Include relevant business experience, certifications, completed coursework, awards, etc. </p><p>Return application via email to [email protected] by 1/30/15 @ 12PM EST. Selected participants will be notified in February 2015. BUSINESS MILESTONES: What accomplishments have you achieved to-date to work towards launching your business? (For example: Completed a business plan, interned/worked in a similar business, visited potential commercial locations, incorporated, launched business website.) </p><p>FINANCING: How much money have you invested so far into starting your business? </p><p>Return application via email to [email protected] by 1/30/15 @ 12PM EST. Selected participants will be notified in February 2015. GOALS: What are your goals for participating in this program? (Maximum of three) What business areas would you like to work on with a mentor?</p><p>If selected to participate in The Brooklyn Business Mentoring Initiative you confirm that you will:</p><p>1. Participate in at least SIX (6) hours of meeting time with your Mentor 2. Attend at least THREE (3) BOC no-cost workshops 3. Attend at least THREE (3) BOC one-to-one no-cost business counseling sessions 4. Attend the Launch and Closing Events 5. Complete and submit a Business Plan and Cash Flow Statement 6. Complete a Final Program Evaluation</p><p>Signature: ______</p><p>Date: ______</p><p>Return application via email to [email protected] by 1/30/15 @ 12PM EST. Selected participants will be notified in February 2015. </p>