Success Circles Volunteer Application

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* 1. First Name

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* 2. Last Name

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* 3. Company Name (if applicable)

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* 4. Phone Number

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* 5. Email Address

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* 6. Mailing Address

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

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* 7. Social Media (only provide what you use for professional purposes)

Twitter

Instagram

Facebook

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* 8. Upload a photo of yourself

This is the photo that we will use on our website and for other program and promotional uses if you are invited to join our volunteer community.

PNG, JPG, JPEG file types only.

Choose File

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* 9. How did you learn about this opportunity?

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* 10. Tell us the area(s) of expertise that you will contribute:

Accounting

Bookkeeping

Legal

Operations

Sales

Supply Chain Management

Administration

Human Capital Management

Marketing

Relationship Development

Social Media

Technology

Other (please specify)

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* 11. Describe, in detail, the talent contribution that you will offer to the selected business. Include the number of hours and/or the specific deliverable that you will provide.

Success Circles Volunteer Application

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Company Name (if applicable)

Question Title

* 4. Phone Number

Question Title

* 5. Email Address

Question Title

* 6. Mailing Address

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* 7. Social Media (only provide what you use for professional purposes)

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* 8. Upload a photo of yourself

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* 9. How did you learn about this opportunity?

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* 10. Tell us the area(s) of expertise that you will contribute:

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* 11. Describe, in detail, the talent contribution that you will offer to the selected business. Include the number of hours and/or the specific deliverable that you will provide.

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* 12. What is the estimated market value in USD of the talent contribution you are making? (Based on hourly rate x # of hours)

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* 13. Tell us about any prior mentoring, coaching, or teaching experience.

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* 14. Tell us why you are interested in volunteering your time to support Women of Color entrepreneurs.