IWE Mentoring Circle Registration Form Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Community where you live (please note that the mentoring circle is specific to women living in Northern Manitoba or who belong to a First Nations Band located in Northern Manitoba) Question Title * 4. Email Address Question Title * 5. Phone Number Question Title * 6. Heritage First Nations (status) First Nations (non-status) Inuit Metis Other (please specify) Question Title * 7. Where are you in terms of business? Just thinking/dreaming about starting a business Am ready to start a business Already am in business Want to expand my business Other Comments Question Title * 8. What type of business are you currently operating or hope to operate e.g. food services, arts & crafts, consulting, etc. Question Title * 9. Is your business operating on-reserve or off-reserve (or if you have not yet started, where will it be located)? On Reserve Off Reserve Both On and Off Reserve Question Title * 10. Which session time are you planning to attend? 3rd Tues. of each month (Apr. 16, May 21, June 18) 1st Weds. of each month (May 1, June 5, July 3) Combination of both (sometimes on the Tues and sometimes on the Weds) Done