Financial Assistance Application

WHY? To offer growth and support to a female businessperson. We plan to: (required)

Identify career inhibitors in your life and work

Create a strategy to overcome the various career inhibitors

Help you develop leadership skills for advancing your career

Instill confidence and provide a business support network

Help you reach your fullest potential

Please confirm which opportunities you are looking to accomplish with the Mentorship Bootcamp by checking each of the boxes that apply to you.

WHO can participate? Woman member (or future member) of the PBNCC must have at least 2 of these: (required)

Women-owned business

Younger Woman/Young Professional beginning her career or business

Women reentering the workforce

Women wanting to advance her career

Women leaders working in the nonprofit sector

Please confirm which option fits you best by checking any and all of the boxes that apply to you.

Nominee Applicant

Title is used for how we approach you (Miss, Mrs. Ms.). Job Title will be request below. Please submit applications by no later than Wednesday, February 27TH at 12 NOON. Any and all questions can be directed to Brittany Cartwright at brittany@pbnchamber.com.

Title

First Name (required)

Last Name (required)

Suffix

Phone Number (required)

Please use the best phone number to reach you at.

Email Address (required)

Please use the e-mail address you would like to be notified of anything related to the Mentorship Bootcamp program.

Company Name (required)

If none currently please put 'N/A'

Job Title

What is your exact job title?

Have you attended any of the previous sessions (Fall '20/Spring '21/Fall '21/Spring '22)? (required)

Yes

No - Did Not Know About It

No - Did Not Have The Funds

Please tell us if you have participated before or wanted to but could not due to financial restrictions.

Current Employment (required)

New to the Workforce

Changing Careers

Personal/Professional Growth

Check only one.

Website (required)

This is your company's website OR your personal website.

Type of Business

How would you identify your business? Health & Human Services? Beauty Salon? Accounting Firm? Non-profit? Tell us!

Number of Employees (required)

This can either be how many staff you employ or how many employees are in your business with you.

Confirm you agree to attend ALL of the scheduled sessions (virtual sessions will be held the 2nd Tuesday from 12-1:15 p.m.) (required)

April 18th: In-Person Kickoff from 5 - 6:30 PM (location TBA)

Virtual Workshop Sessions: 4th Tuesday (subject to change) from 12 - 1: 15 PM

April 23rd - Public Speaking - Perfecting your story - Elevator Speech

May 28th - How to be a Power Networker Panel: Choosing the Right Place to Network

June 25th - Building Your Career Through Community Involvement

July 23rd - Personal & Professional Goal Setting

August 27th - Elevating Your Personal and Professional Brand

September 24th - Being a Lady with Confidence: Success Driven by the Fierce and Fearless

Final Date/Presentations - Tuesday October 1st from 4 - 6 PM (location TBA)

By participating in this program we expect you to show up at each of scheduled times. Please be respectful of the time each of the facilitators put into each session as well as your mentor who is volunteering her time to help you to succeed.

Upload Headshot (required)

Please use highest resolution image in only JPEG or PNG format.

BRIEF BIO: (200 words or less) (required)

Please submit your personal bio (200 words or less). This web form will only take about 1100 characters including spaces. Please use Microsoft Word to measure then copy/paste.

Why do you feel this program is important for you? (required)

Please tell us why you feel this a program that is important to you (200 words or less). This web form will only take about 1100 characters including spaces. Please use Microsoft Word to measure then copy/paste.

What do you feel is your strongest asset and why? (required)

Please submit your strongest asset and why (200 words or less). This web form will only take about 1100 characters including spaces. Please use Microsoft Word to measure then copy/paste.

What asset do you feel needs improvement and why? (required)

Please submit what you feel needs more improvement (250 words or less). This web form will only take about 1100 characters including spaces. Please use Microsoft Word to measure then copy/paste.

What do you hope to achieve from the program? (required)

Please submit what it is that you wish to achieve the program (250 words or less). This web form will only take about 1100 characters including spaces. Please use Microsoft Word to measure then copy/paste.

How much financial assistance are you in need of? (required)

$100 0ff (Members rate: $249 / General admission: $299)

100% Financial Assistance

Tell us how much of a scholarship you are in need of!

If you were awarded this scholarship how would you pay it forward? (required)

Please give us three fun facts about yourself. (required)

Please submit three fun facts about yourself (200 words or less). We will use this in the icebreaker sessions for you to get to know each of your fellow mentees.

Please confirm you are OK with your contact information to be shared with other participants. (required)

Yes

Your contact information will be shared with other participants of the program including mentees and mentors as well as our sponsors of the program.

LinkedIn Profile URL

Payment Information (required)

Mentorship investment is payable in advance and non-refundable,

Are you a Chamber Member?

Yes

A $30 non-refundable application fee is required to process all applications. You will be notified via email if you have been approved for your chosen financial assistance request.

Billing Address

Billing Zip Code

Credit Card Number

CVC

Expiration Month

Expiration Year