Download the Application Guide for more information.

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* 1. Business Information:

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* 2. Does your business identify as (select all that apply)

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* 3. Please describe your business model, including brief descriptions of the key products and services you provide, your customers, and how you differentiate your offerings.

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* 4. How much gross revenue did your business generate in each of the following years?

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* 5. What percentage of your annual gross revenue can be attributed to business outside the US (approximations are fine)?

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* 6. What is your current export activity?

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* 7. PRIMARY PARTICIPANT (Ensure this person will be able to attend all sessions)

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* 8. SECONDARY PARTICIPANT (Ensure this person will be able to attend all sessions)

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* 9. COMMITMENT STATEMENT

Check if you agree to the following:

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* 10. On behalf of our organization, I fully understand the attendance, tuition, and reporting requirements for participation in the Heartland Export Accelerator program. We agree to fulfill those requirements if selected to participate in the program.

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* 11. For a more intimate learning experience and to foster robust dialogue the program will be limited to five companies (allowing for two representatives from each selected company). If your company is not selected for this cohort, would you like to be considered for subsequent cohorts?

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