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Entrepreneurial Leaders Program (ELP) Application

Final submissions are to be inputted via this form. If you'd like to download a copy of the questions ahead of time, you can see the application form in PDF format here.

Before applying please review our ELP brochure and confirm you are able to attend all session dates. Full participation and attendance is expected (program dates for our incoming cohort will be updated in January of the program year, ~5 months ahead of forum selection)

About the Applicant

First Name

Last Name

Title

Phone Number

How do you self identify? (please use your own words e.g. male, female, non-binary, Indigenous, White, Black, African etc.)

Personal Linkedin Profile link

Street Address

City

Province

Country

Postal Code

Nominated By (optional)

About the company

Company Name

Number of Employees (FTE)

Percentage of Ownership in the Company (Explain if under 50%)

Company Age / Years as CEO

Annual Revenue (of all companies)

Company Website URL

Application Questions

The following questions help us get to know you and determine fit for the ELP program. Note: Applications are due March 31.

Please select the situation that best applies for you.

This is my first time applying for the programI previously applied WITHIN the last 3 yearsI previously applied OVER 3 years ago

Describe your business (revenue model / business size / target markets etc.) *Max 200 Words

What business accomplishments to date are you most proud of? *Max 200 Words

What is your vision for how you will grow your company / impact in the coming years?

*Max 200 Words

Describe your motivation to apply to become a member of ELP. Why do you want to join a forum?

*Max 200 Words

What are the biggest challenges or decisions you'll face in the next year?

*Max 200 Words

Your Strengths: Our aim is to create forums with individuals with different strengths and gaps in leadership. We are looking for individuals who can both 'give' and 'get' from group discussions. To that end, please use this space to describe the area(s) in business where you are strong (e.g. communications, operations, systems, tech, leading teams, finance, strategy, etc.) *Max 200 Words

Your Personal Growth Areas: Similarly, we don't expect you an expert in all areas of business. That's part of why our mastermind forums are so powerful, because participants help fill each others' gaps in experience and expertise. To that end, what are areas where you hope to grow and learn? (see examples, previous question) *Max 200 Words

References

Provide the names as well as the emails and/or phone numbers for two (2) business references as well as an ELP alumnus (if known). Please mention your application and interest in WMI to those individuals. We will reach out to them if you are selected as a finalist.

1. Reference or Alumnus Name, Email and/or Phone

2. Reference or Alumnus Name, Email and/or Phone

3. Reference or Alumnus Name, Email and/or Phone

UNB and the WMI are committed to protecting the personal information of all applicants. The information collected on this application form will be used solely for the purposes of selection for this years’ ELP and will be accessible only to the judges (marked confidential) and WMI staff. For more information on the protection of personal information at UNB contact the Wallace McCain Institute (c/o UNB President's Office), Sir Douglas Howard Hall Rm 111 University of New Brunswick 3 Bailey Dr. PO Box 4400 Fredericton NB Canada E3B 5A3 www.unb.ca/secretariat (506) 453-4613.

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