Application for the CAPITA3 21-Day Self Launch Program
We're thrilled that you're interested in this program, and would like to consider being part of our April cohort!

The purpose of this application form is to help us evaluate the fit of our program with your needs, so please answer the questions to the best of your ability. As much as we would love to work with all of you, please note that space is limited. We ask for business information so we can gain a more complete picture of your leadership needs. And, our selection goes beyond the business idea to you as a leader - so we'll select applicants who have leader growth needs that are the best fit for this program.

PLEASE NOTE: Participation is not connected to obtaining funding through Capita3 or other sources we are connected to.

We will be back in touch regarding participation. Thank you for your interest, and for your time in filling out this application!

Pam + Sara + Barb

CAPITA3 Self Launch 21 Day Program Dates: April 8, 15, 22 + 29, 2019
Location: Fueled Collective - Downtown Minneapolis
Program Fee: $495

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