Worker-Owned Enterprises Academy Application
To apply for the Worker-Owned Enterprises Academy, complete the form below. All fields are required.

Please contact Ahmed Mori at AhmedM@catalystmiami.org if you have any questions.
Email address *
First Name
Last Name
Your Email
Your Phone Number
Street Address
City/State
Zip Code
Birth date (Month / Day / Year)
MM
/
DD
/
YYYY
Gender
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Highest Level of Education Completed
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Race/Ethnic Background
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Are you affiliated with any organizations?
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If yes to the above question, which organizations?
Do you require childcare during this program?
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Do you require translation services?
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If yes to the above question, which language?
Are you currently employed?
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If not employed, when were you last employed?
Occupation?
Do you require other kinds of special accommodations? If yes, please list.
On a scale of 1-5 how would you rate your knowledge of business skills?
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On a scale of 1-5, how would you rate your interpersonal skills?
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Catalyst Miami's programs and services aim to prioritize those with an income that falls at or below the chart below. Given your family size, does your income fall at or below the amount on the chart below? Your answer to this question will not guarantee or prevent your participation in our leadership programming.
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Income Chart
Why are you interested in worker cooperatives? If you have not heard of a worker cooperative, then please describe why you are interested in creating a small business.
What do you want or expect to learn in this academy?
In a few sentences, please describe what you want most out of a job and/or career.
How did you hear about this program?
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Do you have any questions for Catalyst Miami?
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