Intake form

Help us serve you better

Name *

Email address *

What age group does the participant belong to?

What areas of entrepreneurship are you interested in?

Please select at least one option.

Business Planning

Marketing

Finance

Product Development

Social Entrepreneurship

Digital Marketing

How did you hear about us?

What is your primary goal for participating in this program?

Do you have any prior experience in entrepreneurship?

What challenges do you hope to overcome through this program?

Additional questions or comments

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Beyond Survival Innovation