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* 1. Address

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* 2. Please describe your organization. (250 words or less.)

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* 3. Please describe the program for entrepreneurs you plan to run over the next year.

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* 4. What is the impact you hope to make with your entrepreneur support program? If you are successful, what outcome do you hope to achieve? (150 words or less.)

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* 5. Why do you want to support entrepreneurs? Please describe your prior experience supporting and/or investing in entrepreneurs and how you developed your current program. (150 words or less.)

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* 6. Why do you want to be a part of the VilCap Communities initiative in general? Specifically, why do you want to use the peer-selected investment model in your program? (150 words or less.)

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* 7. During the Salt Lake City workshop, each VilCap Communities participant will lead a session for other participants on a topic in which you excel. What do you think you are truly exceptional at? (Recruiting, mentorship, helping entrepreneurs hire, running events, impact assessment?) (150 words or less.)

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* 8. What is the one thing you want to learn from other people like you? (150 words or less.)

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* 9. The VilCap Communities program requires investors willing to pre-commit a minimum of $50,000 in capital to entrepreneurs, allocated through peer selection. While securing this capital is not a prerequisite for the application, have you identified anyone (including your own organization) willing to pre-commit capital? If so, please describe them. (150 words or less.)

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* 10. If selected, who from your team would attend the launch from March 18-22?

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