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The WiRE Female Founders Fast-Track Registration Form
The WiRE Female Founders Fast-Track Registration Form
Please complete this registration form to participate in one or more of the WiRE Female Founders Fast-Track Program Components
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Email Address
(Required.)
*
4.
Phone number
(Required.)
5.
Have you started a venture? Please choose which statement applies most to you.
No, but I have an innovative idea for a product or service and would like to start a venture.
Yes, I have started a venture but am still in the early stages
Yes, my venture is established and I would like to grow or scale it
6.
If you have a venture/business, how long has your business been in operation?
Less than 1 year
1 to 3 years
More than 3 but less than 5 years
5 - 10 years
More than 10 years
7.
Do you sell your product/service to an international audience /customer base?
No, not interested
No not yet, but I would like to in the future
Yes, I would like to grow my audience/customer base internationally
*
8.
Please click the drop-down arrow to choose the industry in which your idea/business/venture operates
(Required.)
Agriculture/Forestry/Fishing
Tourism
Mining
Manufacturing
Electricity/Gas/Water/Waste Management
Construction
Wholesale Trade
Retail Trade
Accommodation and Food Services
Transport/Postal/Warehousing
Information/Media/Telecommunications
Financial and Insurance Services
Professional/Scientific/Technical Services
Administrative and Support Services
Public Administration and Safety
Education and Training
Healthcare and Social Assistance
Arts and Recreation Services
Other: Advanced Manufacturing
Other: Aerospace
Other: Agriculture and Food Research Development and Extension
Other: Biofutures
Other: Biomedical
Other: Defense
Other: Hydrogen
Other: Mining, Equipment and Services (METS)
Other: Screen
Other: Resource Recovery
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9.
Please state your current position.
(Required.)
10.
Name of your business/venture or organisation
*
11.
Please provide a short description of your venture/business' focus/operations.
(Required.)
12.
If your business/venture has a website please indicate it below
*
13.
The location where you live (Town or City and State)
(Required.)
*
14.
Postcode where you live
(Required.)
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15.
Is your business at least 50% owned by an Aboriginal person or a Torres Strait Island person?
(Required.)
No
Yes
*
16.
Is your business/venture at least 50% Female Owned and/or Led
(Required.)
Yes
No
*
17.
Is the headquarters of your business/venture outside of the Brisbane City Council's boundary?
(Required.)
Yes
No
18.
Briefly describe your product, service, innovation, idea
*
19.
Please indicate which WiRE Program capacity-building activity you have participated in previously, if any. Please tick all that apply.
(Required.)
Online Workshop
WiRE Bootcamp
WiRE Hub
Showcase Series
None of the above
20.
As you consider engaging in this new initiative over the next 12 months you will have access to all program components if you register for the FULL program, however some activities may resonate with you more than others. We are interested to know which program components you are especially keen to participate in, as you tailor your journey to suit your interests and aspirations. Your active involvement will contribute to a fulfilling and enriching experience for you and others involved in this initiative. (Please tick all that apply)
Regional Innovation and AI Play Pop-up (Free)
Virtual Business Growth and Scaling Bootcamp delivered over two half-days - The Virtual Interactive Business Growth Bootcamp is designed to setting female founders up for business growth by leveraging marketing and AI tools
12-week Immersive Virtual Business Growth and AI Collaboratory Hub Challenge to fast-track your innovative ideas and business growth/scaling in 12 weeks with the support of peers, mentors and a coach.
Workshop Series on Playing Big in Life and Business
Workshop Series on Leveraging AI for Business Growth and Development
Workshop Series on the Navigating Legal Issues in Business and Growth
Workshop Series on Getting Ready to Pitch and Fundraise
Female Founder Virtual Pitch Fest - Perfecting your pitch in Front of a Panel of Investors and Experts
Female Founder Showcase Series - Showcasing Your Business/Venture
The Online Community of Like-minded Female Founders
All Components
21.
If you have indicated above that you want to participate in the 12-week Virtual Business Growth and Scaling Hub Challenge, what is the one major thing you would like to achieve in your business/venture during the 12 week Hub Program? This may still change when you start your Hub journey.
22.
What are your three primary entrepreneurial challenges/pain points?
23.
What do you consider your strongest qualities, skills or attributes?
24.
What do you consider to be your weakest qualities, skills, and attributes?
25.
What is the most important goal you want to achieve in your business in the next 12 months?
*
26.
Please rate your "know-how" of using AI tools to progress, grow, or scale your ideas/business/venture.
(Required.)
Not at all
Slightly
Moderately
Quite a bit
A lot
Not at all
Slightly
Moderately
Quite a bit
A lot
Other (please specify)
*
27.
Please rate your "know-how" of effectively using other innovative strategies to grow your idea/business/venture.
(Required.)
Not at all
Slightly
Moderately
Considerable
Extensive
Not at all
Slightly
Moderately
Considerable
Extensive
Other (please specify)
28.
What AI Tools do you currently use in your venture/business, if any? Please specify.
29.
What social media platform(s) do you use most regularly?
Facebook
Instagram
Linkedin
What other social media platform(s) do you use? please specify)
30.
If you indicated you want to participate in the 12-Week Hub, would you like to be considered as a Hub mentor?
Yes
Maybe
No
31.
If you want to be considered a Hub Mentor, please explain why?
32.
Would you like to sponsor another female founder in Queensland to participate in the program?
Yes
No
33.
If you have answered "yes" in the question above, and you wish to sponsor someone you know, please state the name and email of the female founder you would like to sponsor.