Youth Application
F.E.M.A- Future Entrepreneurs Moving Ahead
YOUTH INFORMATION:
F.E.M.A- Future Entrepreneurs Moving Ahead
Youth Name
*
First Name
Last Name
E-mail
example@example.com
Youth Age
Grade
*
Gender
Male
Female
Name of School
*
Youth Business Information
F.E.M.A- Future Entrepreneurs Moving Ahead
Do you have a startup idea/business in mind
Yes
No
Maybe
Will you be offering a Service or Product
Service
Product
Both
Not Sure
Do you have a business name already, or will you need help with that?
Yes
No
Maybe
Do you have a business Logo already
Yes
No
Maybe
Do you have a business cards already
Yes
No
Maybe
Do you have a business Branded Shirt already
Yes
No
Maybe
Tell us a little it about your business or business ideal:
WHAT IS THE business mission statement
What are your business Colors
Business Social Media accounts names: Facebook & Instagram
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email Address
Social Media accounts names: Facebook & Instagram
Are you willing to ensure that your youth attends the required workshops? (4 workshops)
Yes
No
Are you willing to assist your youth in-between meeting to help make this is successful?
Yes
No
I would need some assistance
Are you willing to converse with the mentor via facebook group or phone?
Yes
Not
Maybe
Anything we should know about your youth learning style or goals with their business, what is your hope for them through this process?
MEDICAL INFORMATION
Physician Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Medical Concerns
EMERGENCY CONTACT (E.C.)
E.C. Name
First Name
Last Name
E.C. Phone Number
-
Area Code
Phone Number
E.C E-mail
*
Relationship to E.C.
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