Champions Application Name* First Last Email Address* Cell Phone*Which stage of business are you in?*I’m discovering my entrepreneurial spiritI have an ideaI've started a businessI'm expanding my businessWhen did you launch your business?*I haven't launched my businessWithin the past 6 monthsWithin the past 6-12 monthsWithin the past 1-2 yearsWithin the past 2-3 yearsMore than 3 years agoYou have probably launched your business if you can answer yes to any of the following questions: Are customers paying for my product or service? Am I working full-time on this? Have I raised capital for the business? Have I set up a bank account and/or a separate legal entity for the business? Do I have an active website or online presence selling my product or services?Name of your business, if it applies:Tell us about your business.*How many hours per week are you spending on your business?*Which industry best describes your business or idea?*Cause / NonprofitConsumer Services (e.g. Maintenance, Electrical, Plumbing)Creative / Arts / CultureEducationEntertainmentEvent Spaces and StudiosFood, Restaurant, and BeverageHealth and WellnessOutdoor / Environment / SustainabilityProfessional Services (e.g. Finance, Insurance, Legal)Products, Retail, and ShoppingTechnologyVideo, Film, and PhotographyOther (please specify)OtherWhat do you hope to gain from Champions? Please elaborate.*Why do you think you'd be a good candidate for Champions? Please elaborate.*What is your 3-year plan?*Where are you at in your entrepreneurial journey/life at the moment? - Are you committed to attending and participating in all 4 monthly group sessions (Tuesdays 6pm-8pm) and 4 monthly one-on-one mentor meetings?*Yes, I am very committed and ready to give it my all!Maybe, I am interested but have a lot going on.Well... I may have have to miss a session or two.Zip Code*Do you identify as any of the following Communities of Interest? (Choose all that apply):*Person of ColorWomanMilitary Service - Veteran or EnlistedNew American Citizen or ImmigrantLGBTQ+Member of a 1-2 Person Household Earning Less than $55,000/ yearMember of a 3+ Person Household Earning Less than $75,000/ yearFounder of a Social Enterprise (maximizing both social impact and profit)None of the AboveOther (please specify)This question is not used to qualify participants, but is instead used to help validate that we are an organization inclusive of people of all kinds. Further, grants that make our place and programs low or no cost require a reporting of this data in aggregate. Thank you for your response.Please select all that apply*I have attended a Will It Fly workshopI have attended Business BootcampI have attended a Power Hour sessionI have met with a DEDO advisorI have gone through CO.StartersI am not sure what some of these programs are and would like to learn more!Champions is ideal for entrepreneurs and business owners who need ongoing structured mentorship and accountability to get their businesses to the next level. If you have not yet taken advantage of our other programs we recommend you take advantage of those first! If you would like to learn more about the programs and resources offered at the Commons on Champa, email firstname.lastname@example.org. OtherPhoneThis field is for validation purposes and should be left unchanged.