WPEAP Community Bootcamp Application Form

For those in difficult circumstances trying to start or grow a business

Thank you for your interest in the WPEAP Community Bootcamp for Entrepreneurs, sponsored by the Jim Moran College of Entrepreneurship, the Jim Moran Institute at Florida State University, and Partners.

Applications must be completed in full to be considered for the program.

View the COMMUNITY BOOTCAMP FOR ENTREPRENEURS flyer.

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General Information

Bootcamp *

Aug 15,Aug 22,Aug 29, Sept 5,Sept 12,Sept 19

First Name *

Middle Name

Last Name *

Personal Contact Information

Your Email Address *

Please Re-enter your Email Address *

Best Phone Number to reach you *

Home Address 1

Home Address 2

Home City

Home State

Home Zip Code

https://www.facebook.com/

https://www.instagram.com/

https://www.linkedin.com/

https://www.linkedin.com/in/

https://x.com/

Other Social Media Handles

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Are you currently in business or thinking about starting a business?

Currently in business

Thinking about starting a business

Legal Business Name

Website

Describe the business that you have or the idea for the one you want to start.

Where do you most need help?

Are you committed to attending all six Saturdays of the Community Bootcamp for Entrepreneurs?

(Dates: Aug 15, Aug 22, Aug 29, Sept 5, Sept 12 and Sept 19, 8:30 a.m. - 12:30 p.m. at The Press Building, 2751 South Dixie Highway, West Palm Beach, FL 33405).

Yes

No

Are you requesting consideration for a scholarship to waive all but $25 of the fee based on being economically disadvantaged?

Yes

No

Given Scholarship

Denied Scholarship

How did you hear about this program? *

By submitting this application, I acknowledge the importance of being present and engaged throughout the entirety of the program. In addition, I consent to allow the Jim Moran Institute to use all photographs and videos taken at this event in future marketing efforts.