Name
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First Name
Last Name
Email
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Country of residence
Phone
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Country
(###)
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Business Name
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Business Type/Industry
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Number of years in operation
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Describe your business' products and services.
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What is your business vision statement and mission statement? If you don't have one, that's ok!
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Please add your business/professional social media including FaceBook, Instagram, TikTok, LinkedIn, websites etc.
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How does your business support and advance your surrounding community?
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Where do you envision your business will be in 1 year, 5 years and 10 years?
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Please share your average monthly or annual revenue (estimates are okay)
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What is your current system for tracking your expenses and profits? It's ok if you don't have one!
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What are the biggest challenges your business faces?
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What kind of support do you feel you need most right now in your business?
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Why do you want to participate in the Changover Mentorship program?
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This program requires your active participation in regular virtual check-ins, goal-setting sessions, and follow-through with your mentor. Are you willing and able to commit to showing up consistently, communicating openly, and investing time in your business growth over the next 3–6 months?
This is a completely virtual program. Do you access to reliable technology?
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Please list 2-3 references or community endorsements including their names, phone number and emails.
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What else would you like us to know about you and your business?
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How did you hear about the Changeover Mentorship Program??
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You did it! (insert confetti here!) So what happens next? After submitting your application:
1. You’ll be invited to submit a short video introduction.
2. Mentees will be asked to share photos of their business (if applicable).
3. Our team will schedule a brief interview to get to know you better.
4. If selected, you’ll receive orientation, training, and your match!
