CGLCC | OUT For Business – 2022 Mentee Application Form

Overview

If you are a young 2SLGBTQI+ entrepreneur (between the ages of 18-39) with a registered business, CGLCC’s OUT for Business initiative can provide you with the support and guidance to grow your business. We pair you with mentors and leaders in the 2SLGBTQI+ community who can offer you experience and expertise through one-on-one and team mentoring. Tap into the experience of mentors and navigate the journey of a 2SLGBTQI+ entrepreneur with sharpened business skills and an expanded network.

NOTE: This application will not be saved if you exit this window. Please ensure you complete the form in one sitting and we recommend saving your answers in a secondary document so no work is lost.

How long has your business been operating?*

I am available and will commit to attend monthly virtual workshops (2 hours/session) and available for a monthly mentoring meeting (time commitment dependent on mentor) from September 2023 to August 2024 *

I am a part of the 2SLGBTQI+ community and willing to be publicized as such*

I am between the ages of 18 and 39 as of September 2023*

This information will only be used for the OUT for Business program and all information shared in this application will be kept confidential. Note: Short-listed candidates will be asked to make a short pitch to a panel of judges.

First Name*

Last Name*

Pronouns *

They/Them She/Her He/Him Zie/Hir Ey/Em Xe/Xem Other

If Other please specify:

Email*

Phone Number*

City/Town*

Province/Territory*

What gender do you identify with? *

Cisgender Man Cisgender Woman Trans Man Trans Woman Non-Binary Two-Spirit Prefer not to disclose Prefer to self-describe

If Prefer to self-describe please describe:

How would you describe your sexual orientation? *

Asexual Bisexual Homosexual Heterosexual Pansexual Queer Questioning Prefer not to disclose Prefer to self-describe

If Prefer to self-describe please describe:

Do you personally identify with any of the following diversity groups? Please select all that apply.

Person with a disability*

Indigenous persons*

If yes, please choose from the following:

Métis Inuit First Nations

Persons who are from a visible minority group (Visible minority groups include someone, other than an Indigenous person, who is non-white in colour/race, regardless of place of birth)*

If Other please specify:

What is the name of your business?*

When did you start or acquire your business?*

Website

What is the business structure?*

Are you involved in daily operations?*

What province is your business registered and operating in?*

Describe your business and indicate the products and services you offer (min 300 words)*

What are your expected 2023 revenues? *

Describe what motivated you to start your own business? (min 200 words)*

Describe why are you applying for this program and what you are hoping to achieve. (min 200 words)*

If Other please explain:

Would your business benefit from getting certified with our Supplier Diversity Program, which is complimentary for OUT to Business Entrepreneurs? *

Yes No Unsure

Learn more about our Supplier Diversity program here.

Please provide any additional information you believe would be important for us to know.

OUT For Business – 2022 Mentee Application Form

Overview

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