Application for the CWE Rhode Island - Spring 2020 Power Forward! Course

Welcome to the application for CWE’s Power Forward Program! We consider the following criteria with applications. However, it is not required to meet each of the bulleted items in order to qualify.

Desire for business growth
Drive to succeed
Commitment to attending all classes and completing assigned work
In business for at least 2 years
Have annual revenues of at least $25,000
At least one full time employee besides the owner
Business or business owner must be in Rhode Island

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* 1. Applicant Contact Info

Full Name *

Title

Email Address *

Direct Phone Number *

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* 2. Company Contact Info

Legal Business Name *

D/B/A (if applicable)

City/Town *

State/Province *

ZIP/Postal Code

Business Phone Number

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* 3. Is your company currently certified as woman-owned? If so, which certification(s) do you have? Please select all that apply.

No, my company is not currently certified.

Yes - WBE

Yes - WOSB

If other, please specify:

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* 4. What is the legal structure of your business?

Sole proprietorship

Limited Liability Company (LLC)

Corporation

Other (please specify)

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* 5. Company Website:

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* 6. Number of years company has been in business (since formation):

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* 7. Number of years you have had any ownership in the company:

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* 8. What is your current % ownership?

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* 9. What is the total % female ownership of this company?

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* 10. What is the current revenue range of this company?

$0 - $1 million

$1 million - $5 million

$5 million - $10 million

$10 million - $20 million

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* 11. How many part-time employees do you have, not including yourself?

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* 12. How many full-time employees do you have, not including yourself?

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* 13. Please describe your business and your offerings. Do you provide goods or services? Where are you on the supply chain: manufacturer (from raw goods), logistics (supply chain management), distributor (transportation/warehousing), wholesaler, or retailer/service provider?

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* 14. At what stage would you consider your business to be?

Pre-launch

Early Stage (0-2 years)

Mid-Stage (2-5 years)

Renewal Stage (various)

Mature Stage (5+ years)

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* 15. Rate the following areas of in terms of strengths & challenges for your company currently:

	A Strength	A Moderate Strength	Neutral	Somewhat of a Challenge	A Challenge
Strategic Planning	Strategic Planning A Strength	Strategic Planning A Moderate Strength	Strategic Planning Neutral	Strategic Planning Somewhat of a Challenge	Strategic Planning A Challenge
Leadership & Accountability	Leadership & Accountability A Strength	Leadership & Accountability A Moderate Strength	Leadership & Accountability Neutral	Leadership & Accountability Somewhat of a Challenge	Leadership & Accountability A Challenge
Flow of Operations	Flow of Operations A Strength	Flow of Operations A Moderate Strength	Flow of Operations Neutral	Flow of Operations Somewhat of a Challenge	Flow of Operations A Challenge
Human Resources & Employee Management	Human Resources & Employee Management A Strength	Human Resources & Employee Management A Moderate Strength	Human Resources & Employee Management Neutral	Human Resources & Employee Management Somewhat of a Challenge	Human Resources & Employee Management A Challenge
Account Management & Sales	Account Management & Sales A Strength	Account Management & Sales A Moderate Strength	Account Management & Sales Neutral	Account Management & Sales Somewhat of a Challenge	Account Management & Sales A Challenge
Website Development	Website Development A Strength	Website Development A Moderate Strength	Website Development Neutral	Website Development Somewhat of a Challenge	Website Development A Challenge
Financial Planning	Financial Planning A Strength	Financial Planning A Moderate Strength	Financial Planning Neutral	Financial Planning Somewhat of a Challenge	Financial Planning A Challenge
Branding & Marketing	Branding & Marketing A Strength	Branding & Marketing A Moderate Strength	Branding & Marketing Neutral	Branding & Marketing Somewhat of a Challenge	Branding & Marketing A Challenge
Presentation Skills, Elevator Pitch & Capabilities Statement	Presentation Skills, Elevator Pitch & Capabilities Statement A Strength	Presentation Skills, Elevator Pitch & Capabilities Statement A Moderate Strength	Presentation Skills, Elevator Pitch & Capabilities Statement Neutral	Presentation Skills, Elevator Pitch & Capabilities Statement Somewhat of a Challenge	Presentation Skills, Elevator Pitch & Capabilities Statement A Challenge
Succession Planning	Succession Planning A Strength	Succession Planning A Moderate Strength	Succession Planning Neutral	Succession Planning Somewhat of a Challenge	Succession Planning A Challenge
Company Culture	Company Culture A Strength	Company Culture A Moderate Strength	Company Culture Neutral	Company Culture Somewhat of a Challenge	Company Culture A Challenge

Other (please specify)

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* 16. Briefly describe some of the challenges you have been facing and what might be holding your company back from growth?

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* 17. Briefly describe the future plans for your company, including both short-term and long-term goals. If no goals are yet set, please state this.

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* 18. Briefly but thoroughly, please state why you are applying for this course, and what you hope to get out of it. Please describe some specific goals and what you would consider to be an outcome of success.

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* 19. Please rate your level of experience with digital platforms, such as GoToMeeting.

I have never attended a webinar on any platform.

I have attended webinars but am NOT familiar/comfortable using the GoToMeeting/GoToWebinar Platform

I have attended webinars and am familiar/ comfortable using the GoToMeeting/GoToWebinar Platform

I am an experienced webinar participant, but have NOT hosted/presented one.

I am an experienced user of digital platforms such as GoToMeeting, and/or have experience hosted/presented.

Please feel free to share more about your experience with webinars, including what you enjoy and/or challenges you have experienced.

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* 20. How did hear about this program?

CWE Staff

CWE Brochure/Flyer

CWE Website

SBA

SCORE

Other (please specify)