application form GENERAL INFORMATION GENERAL INFORMATION Name * Name (required) First Name Last Name Email * Email address (required) LinkedIn profile LinkedIn profile http:// Company name * Company name (required) Years of experience * Years of experience (required) What is your current role? * What is your current role? (required) Gender Identity * What is your current gender identity? (required) Woman Man Transgender Non-binary Gender-fluid Other Prefer not to answer Do you identify as Hispanic? * Do you identify as Hispanic? (required) Yes No Prefer not to answer Do you identify as LGBTQIAP? * Do you identify as LGBTQIAP? (required) Yes No Prefer not to answer Racial identity * Please select any and all racial and ethnic categories of which you identify (required) Black or African American White, Anglo or European-American Hispanic/Latinx Asian Native American or Indigenous Native Hawaiian or Pacific Islander South Asian Other Prefer not to answer Video introduction Video introduction (Optional) Please include a link to a short 60 second to two minute video OR reel describing you (the founder), your company and why your product/service. This does not have to be a product demonstration rather a quick video about you and the amazing company! This can be done on your phone or laptop and uploaded to YouTube. http:// COMPANY GENERAL INFORMATION COMPANY GENERAL INFORMATION Website Website Please paste a link to your company's website http:// Industry * In what industry is your company? (required) Artificial Intelligence Beauty and hair Cleantech E-commerce Entertainment Fintech Healthcare Retail / Consumer Package Goods (CPG) Other - please describe below If you answered 'other,' please describe here: If you answered 'other,' please describe here: COMPANY LOCATION * COMPANY LOCATION (required) Address 1 Address 2 City State/Province Zip/Postal Code Country Number of employees * Number of employees Social Media Handles * Social Media Handles Include as many handles as you have (LinkedIn, Twitter, Facebook, Instagram, etc). If you don't have any, please write "N/A" FOUNDER + TEAM FOUNDER + TEAM Problem to solve * Please describe your company and the problem you are solving why * Why did your team create this product / service? Founders met * Please explain why your team is qualified to solve this problem. How long in business * How long have you been in business? Expansion plan * How do you plan to expand your business and/or team? MARKET STRATEGY MARKET STRATEGY Metrics Please share any metrics you currently have available. Revenue * Do you have any revenue currently? Yes No Past three years revenue * Have you had any revenue within the past three years? Yes No Not applicable Have you received funding? If so, please describe. * Have you received funding? Yes - please describe below No Funding Please describe the funding(s) you have previously received Do you have any debts? * Do you have any debts? Yes No Not applicable Please describe your current marketing/PR strategy Please describe your current marketing/PR strategy If you are interested in raising additional capital, what are these funds needed for? If you are interested in raising additional capital, what are these funds needed for? THE PROGRAM THE PROGRA How did you hear about us? * How did you hear about us? LinkedIn Instagram Facebook BWTT Knox St. Studio North Carolina Alumni Referral (please specify) Other (please specify) If you selected 'Alumni Referral', please specify their name(s) If you selected 'Alumni Referral', please specify their name(s) If you selected 'Other', please specify here If you selected 'Other', please specify here Please tell us why you are interested in the Wocstar & Ghetto Film School Entrepreneur Academy. * Please tell us why you are interested in the Wocstar & Ghetto Film School Entrepreneur Academy. If selected, please describe your desired goals from this program in 3-5 sentences. * If selected, please describe your desired goals from this program in 3-5 sentences. Thank you!
