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Entrepreneurial Leaders Program (ELP) Application

Final submissions must be inputted via this form. For your convenience there is a document with the questions listed in an editable format for you to reference and compile your answers here.

It is assumed that you have already read the brochure found HERE.

About the Applicant

First Name

Last Name

Title

Phone Number

If choosing Other, please feel free to elaborate

Personal Linkedin Profile link

Street Address

City

Province

Country

Postal Code

Nominated By (optional)

About the company

Organization Name

Number of Employees (Full Time Equivelant)

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

Company Age / Years as CEO

Annual Revenue (of all companies)

Company URL

Application Questions

The questions below allow the judges to determine the fit between you and ELP. You are not able to exceed the allotted space for any given answer. Applications must be received by March 31st.

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 (activity/size/geography) *Max 200 Words

200 words remaining

What are your proudest business accomplishments to date? *Max 200 Words

200 words remaining

What is your vision for how your company will grow in the next 10 years?

*Max 200 Words

200 words remaining

Describe your motivation to apply to become a member of ELP.

*Max 200 Words

200 words remaining

What are the top decisions that you face during the next year?

*Max 200 Words

200 words remaining

References

Provide the names as well as the emails and/or phone numbers for 2 business references and an ELP alumnus you have discussed this with (if possible). By sending this application, you confirm that you have had a discussion with an alumni or WMI staff about the program cost & ongoing program expectations.

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. Applications will only be retained in the WMI electronic files indefinitely but destroyed by judges after the selection.

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