Changeover Application Name * First Name Last Name Email * Country of residence Phone * Country (###) ### #### Business Name * Business Type/Industry * Number of years in operation * Describe your business' products and services. * What is your business vision statement and mission statement? If you don't have one, that's ok! * How does your business support and advance your surrounding community? * Where do you envision your business will be in 1 year, 5 years and 10 years? * What are the biggest challenges your business faces? * Why do you want to participate in the Changover Mentorship program? * Do you access to reliable technology? I have access to a computer and access to reliable internet I have access to a computer but I do NOT have access to reliable internet I only have a cell phone If you were chosen for a grant (up to $500) how would you use those funds to advance your business? * Please list 2-3 references or community endorsements including their names, phone number and emails. * What else would you like us to know about you and your business? * How did you hear about the Changeover Mentorship Program?? * Thank you!
