Envoy Application

Envoy Application and Commitment Form
Thank you for your interest in becoming a WBEC-East Envoy! If you have not already done so, please refer to the Envoy Program Guidelines
Name*

First NameLast Name
Title
Your role at your company
Company Name*
Email*
example@example.com
Company Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years in Business
Years Certified
Number of Employees
Your best estimate is fine
% Ownership
Please check off which of the below WBEC-East programs you have participated in within the last two years:

Educational workshop or webinarDesserts & More Annual FundraiserMeet & Greet eventDoing Business with SeriesNextGen sponsored programWomen of Color sponsored programNone of the above
Please check off which of the below WBENC national programs you have participated in within the last five years:

WBENC National Conference and Business FairWBENCPitchWomen Owned Retail webinar or workshopMulti-Week Executive Education, Accelerator, or Incubator program (WeThrive, WeIgnite, etc.)None of the above
Are you aware of the Dorothy Brothers Scholarship? (Knowledge of this program is not required to be considered for the Envoy program)

Yes, I am aware and have been a part of this scholarship programYes, I am aware of this scholarshipNo, I am not aware of this scholarship
Are you aware of the WBENC Tuck Program? (Knowledge of this program is not required to be considered for the Envoy program)

Yes, I am aware and have been a part of this programYes, I am aware of this programNo, I am not aware of this program
One of the roles of an Envoy is to guide new WBEs on how to best use their certification. How have you been using your WBE certification?
Why did you choose to become a WBENC-certified Women Business Enterprise?
Why do you want to participate in the Envoy program?
Please describe your past involvement in WBEC-East committees as either a member or in a leadership role.
Please describe previous experience relevant to the role of the Envoy as an educator, facilitator, and communicator, including any public speaking experience. (Refer to guidelines with any questions)
Should be Empty:

Envoy Application and Commitment Form