Early Registration Form • Co-op Academy 2019
Fill this form out with basic information for yourself and any other people who may be a part of your team. We will contact you and other members of your team beginning in October.
This is not the final application and does not guarantee your team will be selected. We do not provide this course to individuals but rather teams of at least 2 people.

Requirements to apply:
1. Have at least 1-2 other person in mind to apply with.
2. Have a business concept in mind.
3. Attend a future info session or invite us to speak with your group.

| Timeline for Applications & Selection |

August-December - recruitment and info sessions about the co-op academy • Presentations to groups
October - Full Academy application sent to early registrants & public
December - Deadline for the application • Begin scheduling team interviews
January - Interviews & Team selection • Acceptance letters sent out

February - Start of Spring cohort
February-June - Co-op Academy course

You can contact our outreach coordinator with any tech difficulties or questions at (718) 617-7807 X 704 or outreach@greenworker.coop

Email address *
First Name *
Last Name *
Phone Number *
Email we should use
Borough you live in *
Names & Emails of Other Members *
What is the focus / purpose of your business? *
Is there anything else we should know?
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