Please complete and submit this application to be considered for the NAWBO Phoenix mentoring program from October - May, 2019-2020.

After you submit the application, your information will be sent via email to our mentoring program committee. You will contacted by a committee member for a short phone interview within 48 hours of submitting.

On behalf of the mentoring committee, we are very excited about our program this year and can't wait to share more details with you!

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* 1. Your full name and the name of your business.

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* 2. Address (street, city, and zip code):

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* 3. Mobile Phone Number and Email Address

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* 4. Website URL

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* 5. Are you working in your business full-time and exclusively (not working for another company in addition to your own company)?

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* 6. Describe your reason for applying to the mentoring program.

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* 7. Describe your business. What product and/or service do you offer? Who is your target client or customer?

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* 8. Describe the history and current state of your business. What is your greatest accomplishment? What is your biggest challenge or struggle with the business? 

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* 9. List 3-5 goals (business, personal, or professional development) you hope to achieve as a participant in this 8-month program:

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* 10. Please share any other information, experiences, or goals you feel would help the committee in understanding how you are a good fit for this program.

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