Catapult Lakeland

Thank you so much for your interest in joining CO.STARTERS at Catapult and for taking the time to fill out this application! Once submitted, we will review your application and assess whether your business is a good fit for the program. You will receive a call August 23rd about the status of your application and potential next steps.

As this application is used to determine who is the best fit for our next CO.STARTERS cohort, be sure to provide the necessary detail.
Getting Started













What is your home mailing address?


Tell us more about you
Which best describes your current employment or status? (Select all that apply.)














About Your Company
























Commitment

There is a fee for participating in this program (select all that apply to you):




Which of the following session times would work best for you? (Select all that apply.)          





Which of the following (if any) describes your previous training? (Select all that apply.)











Terms of Participation
As a part of the Catapult community, I understand that it is my responsibility to uphold the following principals: • Place: We value the place around us. • Collaboration: Our community values creative cooperation and collaboration. • Respect: Catapult is a respectful place. It is safe for diversity, ideas, inspiration, and creativity. • Value: Our community honors hopes, dreams, and values. • Inclusion: All are invited to join and build on the conversation. • Energy: Catapult is a place where creative energy can thrive. • Mutual Benefit: A rising tide lifts all boats. I understand that Catapult does not and can not guarantee that I will be successful in my business. Furthermore, the benefits gained from participating in Catapult’s programs are a result of time, energy and dedication from the founder(s), and thus are not based solely on the completion of the programs. I further understand and authorize Catapult to provide applicable information to the assigned mentors and facilitators. I understand that any information released to be held in strict confidence by him/her. The Catapult Board of Directors has the right to accept or deny applications for any reason. No person will be excluded from participation in or otherwise subjected to discrimination in regard to services, programs and employment provided by Catapult based on race, sex, color, national origin, sexual orientation, disability, age or religion. *

CO.STARTERS is a venture too! As such, we have to follow our own advice (which you'll hear in Week 5!) and ask you to enter into a little business agreement with us. The statements below were crafted by keen legal minds... and read that way. If you have any questions about the dense legalese, please let us know.
I understand that neither Catapult nor CO.STARTERS guarantees that I will be successful in my venture. Furthermore, the benefits gained from participating in CO.STARTERS are a result of time, energy, and dedication to the program, and thus are not based solely on the completion of the coursework. I further understand and authorize CO.STARTERS to provide applicable information to the assigned management counselor(s). I understand that any information released is to be held in strict confidence by him/her. No person will be excluded from participation in or otherwise subjected to discrimination in regard to services, programs, and employment provided by the catapult and CO.STARTERS based on race, sex, color, national origin, sexual orientation, disability, age, religion, or any other characteristic protected by applicable law or ordinance. 

I understand that the facilitators of Catapult and CO.STARTERS rely upon the active participation and assistance of local volunteers in order to effectively operate the program.  These volunteers include, but are not limited to, mentors and speakers.  I further understand that CO.STARTERS is most effective when participants are willing to freely share experiences and advice with one another during the course of the program.  In order to encourage these vital contributions, as well as those of program staff and facilitators, I hereby release, discharge, and hold harmless catapult, CO.STARTERS, program staff, facilitators, volunteers, and fellow participants from any and all claims, demands, or causes of action that I may hereafter have based upon the advice provided during the program and I understand that I am entirely responsible for the results of the decisions I make involving my venture during and as the result of my participation in CO.STARTERS. 

I do hereby give permission to Catapult and CO.STARTERS, its agents, and others working under its authority, full and free use of video/photographs containing my image/likeness. I understand these images may be used for promotional, news, research, and/or educational purposes. I hereby release, discharge, and hold harmless CO.STARTERS and its agents from any and all claims, demands, or causes of action that I may hereafter have by reason of anything contained in the photographs or video. I do further certify that I am either of legal age, or possess full legal capacity to execute the foregoing authorization and release.