EO Accelerator Melbourne Application Form
(Please note fields marked * are required)
Email address *
Eligibility Requirements
To qualify for the Accelerator program you must:

• Be the owner or founder of an operating business with gross yearly revenues between US$250,000 to US$1 million.

Only qualified applicants will be considered. Qualification does not ensure admission into the program. All applicants are subject to approval by the Entrepreneurs’ Organization.

New Participant Fees
Accelerator participant fees are invoiced on an annual basis at the start of each financial year.

New admissions after the start of the financial year will be invoiced on a pro-rated basis. For example: If you join in December, you have 7 months left in the FY so you get invoiced for 7 months of membership i.e. $2625 plus joining fee of $1500

New admissions who join in the last quarter of the current financial year will have their pro-rated invoice combined with next year’s invoice.

Should you choose to opt out of your next year of Accelerator, you must notify EO at least 60 days prior to the start of the next financial year.

Accelerator Participant fees: AUD $4,500 plus GST and One Time Joining Fee AUD$1500 plus GST

Personal Details
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Nickname
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Company Information
Company Name *
Your answer
Company Address Line 1 *
Your answer
Company Address Line 2
Your answer
Suburb *
Your answer
Postal Code *
Your answer
State *
Your answer
Web Address
Your answer
Date Company Founded *
Month/Year
Your answer
Role in Company *
Industry *
Your answer
Company Description
Tell us about your business *
Your answer
Where is your business going? *
Your answer
Your business USP (Unique Selling Proposition) *
Your answer
How did you start your business? *
Your answer
What do you think you will bring to EO Accelerator? *
Your answer
What do you hope to get out of EO Accelerator? *
Your answer
Gross Revenue Per Year ($USD)
Please ensure values entered are in $USD
2019 (Projected) *
Your answer
2018 *
Your answer
Number of Employees
2019 *
Your answer
2018 *
Your answer
Assistant's Details
If applicable
Assistant's Name
Your answer
Assistant's Phone
Your answer
Assistant's Email
Your answer
Personal Information
Home Address Line 1 *
Your answer
Home Address Line 2
Your answer
Suburb *
Your answer
Postal Code *
Your answer
State *
Your answer
Home Phone
Your answer
How did you hear about EO Accelerator? *
Your answer
Member referred By:
Your answer
Where do you wish your Accelerator Mail to be sent? *
Spouse/Partner Name
Your answer
Number of Children
Your answer
Children's Names
Your answer
Education
School/Degree
Your answer
Commitment to the EO Accelerator Program
I understand that being admitted into EO Accelerator is a privilege, and many people volunteer their time to help make the program possible.

I wish to maximise the benefit of EO Accelerator by agreeing to the following commitments.

I will embrace the values of Entrepreneurs Organization.
• Boldly Go! - Bet on your own abilities
• Thirst for Learning - Be a student of opportunity
• Make a Mark - Leave a legacy
• Trust and Respect - Build a safe haven for learning and growth
• Cool - Create, seek out and celebrate once-in-a-lifetime experiences

I will attend 3 out of 4 learning events per year.

I will attend 10 out of 12 accountability forums.

I will attend all other events that I register for.

I will be on time to events.

I will be completely present at events. I will turn my phone off and eliminate distractions (unless in the case of emergencies).

I will be prepared for my accountability forums. My update sheets will be completed the night prior, and emailed to my moderator.

I will participate actively in events and add value to the EO Accelerator experience of myself and of others.

I agree to the above commitments *
These commitments are a pre-requisite for admission into the program.
Required
Next Steps
Once you submit your application, you will be contacted by the EO Accelerator Membership Chair for a face-to-face interview to help determine your suitability for the program.

From there, your application will be put to the EO Accelerator board for approval.

Once approved, you will need to make payment of your Accelerator Participant fees in order to gain access to the EO Accelerator program.

A copy of your responses will be emailed to the address you provided.
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