Y.C.E.O. APPLICATION FORM
Please complete the form below to be considered for the upcoming Y.C.E.O. Program. The information you provide will be treated as confidential and will be used for program assessment only.

If you are experiencing any issues with the form, please contact jalisa@businessinthestreets.com.

Note:
Y.C.E.O. will take place over 8 Saturdays, running from 10 a.m. to 1 p.m from April 27th 2019 to June 15th 2019.

Our guest panel session is held on Wednesday, June 19th at 6:00 p.m to 9:00 p.m.
The pitch event will take place throughout the day on Saturday, June 22nd 2019.

Full attendance is mandatory.

Program Committment
The program hosts 3-hour, weekly sessions on Saturdays. The sessions will run from Saturday, April 27th 2019 until June 22nd, at the Business in the Streets HQ, 563 Dundas St. E, Suite 206.

The program dates are:
- Saturday, April 27th 2019, 10AM to 1PM
- Saturday, May 4th 2019, 10AM to 1PM
- Saturday, May 11th 2019, 10AM to 1PM
- Saturday, May 25th 2019, 10AM to 1PM
- Saturday, June 1st 2019, 10AM to 1PM
- Saturday, June 8th 2019, 10AM to 1PM
- Saturday, June 15th 2019, 10AM to 1PM
- Wednesday, June 19th 2019, 6:00pm-9:00pm (guest panel session)
- Saturday, June 22nd 2019 is the final pitch session which will take place offsite throughout the day.

Can you commit to attending all sessions including the final pitch? *
Applicant Profile
This section will help us to identify your fit with the program, as well as learn how we can best support you.
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
Business Idea
Help us understand a bit more about your idea and what you're looking for out of this program.
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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