Y.C.E.O. APPLICATION FORM
Please complete the form below to be considered for the upcoming BITS Y.C.E.O. Program. The information you provide will be treated as confidential and will be used for program assessment purposes only. The deadline to apply is Sunday, October 14th at 11:59 p.m.

Note:
Y.C.E.O will take place over 8 Saturdays, running from 10 a.m. to 1 p.m from October 20th to December 8th.

The first session will be October 20th, and will take place from 2 p.m until 5 p.m.
The remaining sessions will be from 10 a.m. to 1 p.m.
The pitch event will take place throughout the day on December 15th.
Full attendance is mandatory.

Program Committment
The program hosts 3-hour, weekly sessions on Saturdays. The sessions will run from Saturday, October 20th until December 8th, at the Business in the Streets HQ, 563 Dundas St. E, Suite 206.

The program dates are:
- Saturday October 20th, 2018, 2PM to 5PM
- Saturday October 27th, 2018, 10AM to 1PM
- Saturday November 3rd, 2018, 10AM to 1PM
- Saturday November 10th, 2018, 10AM to 1PM
- Saturday November 17th, 2018, 10AM to 1PM
- Saturday November 24th, 2018, 10AM to 1PM
- Saturday December 1st, 2018, 10AM to 1PM
- Saturday December 8th, 2018, 10AM to 1PM
- A final pitch session which will take place offsite on December 15th, 2018

Can you commit to attending all sessions including the final pitch? *
First Name *
Your answer
Preferred Name
Your answer
Last Name *
Your answer
Email: *
Your answer
Phone: *
Your answer
Age: *
Your answer
Gender *
Business In The Streets prides works to empower and provide access to communities who are traditional underserved. With this in mind, do you self-identify as:
Are you: *
Please indicate your ethnicity (i.e. peoples’ ethnicity describes their feeling of belonging and attachment to a distinct group of a larger population that shares their ancestry, colour, language or religion): *
Please check all that apply.
Required
Address: *
Including street address, city and postal code
Your answer
Annual income: *
All questions are for assessment purposes only.
Highest level of education completed *
Area of study:
Your answer
Additional courses and training:
Your answer
How did you hear about BITS? *
Required
What goals do you have for this program – what do you hope to accomplish? *
Your answer
How can we help you accomplish your goals? *
Your answer
Please provide a brief description of your business idea: *
What are you selling? Who are the customers?
Your answer
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