Jumpstart Accelerator Application - Cohort 5

CLOSED. The application for Cohort 5 of the Jumpstart Accelerator is closed. Any applications completed after closing will not be accepted or reviewed. 

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Email *
First Name *
Last Name *
Best contact phone (include area code) *
Company Name *
Short description of your business *
How long have you been in business? *
Required
List 2 things you feel you have accomplished with your business so far. *
Please briefly explain what you hope to gain from participating in the Jumpstart Accelerator? *
What is the biggest goal you have for your business? *
Link to your website (NA if not applicable) *
Links to social media (NA if not applicable) *
Are you a member of Rock County Jumpstart?  *
Required
Are you a resident of Rock County, WI? *
Required
Are you able to attend at least 7 of the 10 classes?  *
Required
Do you understand that if you're selected to participate in the program, you'll be required to complete 12 hours of online courses before the first day of in-person classes begins on August 6th? *
Required
Have you previously received any services from Rock County Jumpstart? (coaching, mentoring, referral to services/resources, etc.) *
Required
How did you learn about the Jumpstart Accelerator? *
How do you self-identify? *
Required
What age group do you belong? *
Required
What is your gender? *
Required
Do you understand that if you're selected to participate in the program, you'll be notified no later than June 15, 2024.  *
Required
A copy of your responses will be emailed to the address you provided.
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