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

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* 1. Full Name:

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* 2. Agency Name:

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* 3. Agency Address:

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* 4. State

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* 5. Phone Number:

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* 6. Email Address:

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* 7. Are you a Big “I” Member?

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* 8. How did you find out about the mentorship program?

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* 9. Are you the primary agency owner?

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* 10. How many years have you owned your agency? If less than 2 years, please also note commensurated experience.

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* 11. Have you taken the Big "I" Right Start Virtual Training Series? 

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* 12. Self- Identification. Please check all that apply. I meet the following criteria... 

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* 13. DUPLICATE QUESTION ERROR - PLEASE SKIP

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