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ExpertXchange Participant Application

Thank you for your interest in the ExpertXchange Program! Please take a few minutes to complete the questions below so we can better understand your business's needs and with whom we should connect you with.

 

Business Owner's Overview

* Participant's Name:
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* Participant's Phone Number:
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* Participant's Email Address:
0/50
* Preferred Method of Contact:
 

Business Contact Information

* Business Name:
0/50
* Primary Business Phone Number:
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* Business Address:
0/250
* Business Email Address:
0/50
* Business Website:
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Business Overview

* Date Business Established:
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* What is the legal structure of your business?
* Estimate or Actual of Last Year's Revenue:
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* Briefly describe your business and the products/services you offer:
0/250
* Business Hours:
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* How many full-time employees do you have?
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* How many part-time employees do you have?
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* What kind of mentoring are you looking for? (Please choose one primary area of focus)
* Based on your previous answer, describe some of the challenges you're facing in that area and how it impacts your business:
0/500

Business Social Media and Online Presence (If Applicable)

Facebook Handle:
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Instagram Handle:
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X (Twitter):
0/50
TikTok:
0/50
YouTube:
0/50