BLACK ADVISORY HUB ACCELERATOR PROGRAM -REGISTRATION FORM
Dear Registrant:

You're welcome. Please complete your registration for the Black Advisory Hub business Accelerator program.

 Important dates:
  • December 1, 2022, Information session (5pm-6:30pm CST)
  • December 6, 2022, Classes start (Tuesdays and Thursdays - 5pm- 6:30pm CST)

Your trust is very important to us. Kindly fill in the form below with confidence knowing that we'll protect your personal information. Thank you.
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Email *
General Information
Full Name *
Phone Number *
Business Information
Business Legal Name *
Business Operating Name *
What is your venture's current stage of development? *
Please choose from one of the following list that best represent the stage of your venture.
Which category best describe your business?
Business registration number (if none, please put N/A) *
Full business address (kindly include country) *
Business Email *
Business Phone number *
Please select the category your business belongs *
Date of incorporation
MM
/
DD
/
YYYY
What is your business industry's 2-3 digits NAICS code? (https://www.naics.com/search)
Company description
Total sales revenue at baseline year(Only for incorporated businesses)
Please enter the baseline year for response above (Only for incorporated businesses)
Privacy
We strive to meet or exceed the goals of our program applicants. We're diligent in how we treat the information protecting the privacy of the personal information that you choose to share with us. We only keep your most essential information that allows us to keep track of the services we provide you such as your name and email address and/or phone number. Information may also be used to generate reports, measure program activities or for the purposes of program evaluation.
I consent to my information being used for the purpose mentioned above.
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Participant Declaration
At Casa Foundation, we place emphasis on integrity and ethical behavior with regard to all the content and materials presented.  

I hereby accept to enroll in the program:

1) I will at all times be considerate of my fellow classmates, staff, lecturers, and coaches.

2) I shall abide by the rules and guidelines of the BAH accelerator program and that of Casa Foundation.

3) I agree with the submission of the deliverables (such as the Business Plan, Marketing Plan, Business Pitch) that have been assigned to me and will complete them in a timely manner and within the deadline as required.

4) I understand that attendance is mandatory and will strive to achieve 90% attendance in the program.

5) I agree that the decisions of the judges of the Pitch Competition are final and will not overrule the decision.

6) I understand that the materials in the program are copyrighted and should not be replicated in any fashion or reused in any form other than personal use.

7) If I have any concerns, I will approach the responsible staff member at Casa Foundation.

I declare. *
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