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Big "I" Diversity Agency Owner Mentorship Application

We are still accepting applicants!

Please note this mentorship initiative focuses on underrepresented (minority) agency owners that meet the following guidelines:

  • Big “I" member agency owner
  • Identify as one of the following: racial/ethnic minority, under the age of 42, LGBTQ, OR woman
  • Annual revenue between 100k and 500k
1.Full Name:(Required.)
2.Agency Name: (Required.)
3.Agency Address:(Required.)
4.State
5.Phone Number:(Required.)
6.Email Address: (Required.)
7.Are you a Big “I” Member?(Required.)
8.How did you find out about the mentorship program?(Required.)
9.Are you the primary agency owner?(Required.)
10.How many years have you owned your agency? If less than 2 years, please also note commensurated experience.(Required.)
11.Have you taken the Big "I" Right Start Virtual Training Series? (Required.)
12.Self- Identification. Please check all that apply. I meet the following criteria... (Required.)
13.DUPLICATE QUESTION ERROR - PLEASE SKIP