Doyenne Founder Series Step 1 of 4 25% Name* First Last Business Name*Email* Website Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Educational Experience* Less than High School High School/GED Some College Associates Degree Bachelors Degree Master Degree Doctoral Degree Professional Degree (MD, JD, etc.) Prefer not to answer Please specify your ethnicityDoyenne is required to ask this question due to reporting requirements by the City of Madison and WEDC because of grants we've been awarded from these agencies American Indian Alaska Native Asian or Pacific Islander Black or African American Hispanic or Latino White Prefer not to answer All of the above How many hours a week are you working in your business?* I work full-time in my business (30-40+ hrs per week) I work part-time in my business (10-30 hrs per week) I work in my business on the side for now (less than 10 hrs per week) If you do not currently work full-time in your business, please describe your plan/timeline for transitioning to full-time.Did you take a salary/income from your business in 2018?* Yes No What problem/opportunity does your business address for its customers?*Please focus on your customer's experience/situation here-not your solution to itWho are your primary and/or ideal customers?*Please indicate if you are hoping to change and/or expand your customer types.How does your product/service solve the customer's problem?*Describe how your product/service works and its key featuresHow does your product/service meet the needs of your customers better than your competitors?*What is your competitive advantage?When did you found or purchase your business?*Please provide month and yearWhere is the Principal Office or Headquarters of your business located?*Do you have any co-founders? If yes, please list their names and roles*How many employees do you currently have?* 0 1-4 5-9 10-19 20-49 +50 This does not include yourself and your co-founders.Do you plan on hiring additional employees within the next 12 months?* Yes No What are your estimated revenues for 2018?* I did not generate revenue in 2017 $1-$24,999 $25,000-$99,999 $100,000-$499,999 $500,000-$999,999 $1,000,000+ Please indicate which of the following entrepreneurial challenges you are interested in exploring:* Developing my leadership skills Getting more comfortable as a CEO Developing a sound business strategy for my venture Getting more confident with the financials Figuring out how to reach my customers Explaining my business to others - crafting a pitch Negotiating contracts with employees, customers Selecting vendors, including technology, accounting, legal Managing my time Prioritizing my ideas, the work Check all that applyDescribe 2 key challenges you are currently encountering or potential challenges you foresee encountering in your business that you specifically want to address through the Founder Series*Please share any additional information about you and/or your business that you feel is relevant for us to consider I agree to attend the Launch Retreat on January 24-26.* Yes No I will do my best to attend all 4 of the intensive workshops. Please hold the following dates: March 19, May 21, July 23, and Sept 17.* Yes No I agree to attend the closing Strategic Planning Retreat on November 14-16, 2019.* Yes No Please indicate any dates in 2019 that you already know you are unavailable (e.g., conferences, vacations, etc.).I agree to do my best to prepare in advance for each intensive workshop so that I can enrich my own learning and that of my peers in the cohort.* Yes No I agree to meet one-on-one with at least 5 of my peers in the cohort during 2019?* Yes No If you are not a current Doyenne member, you agree to become a member of the organization as soon as you are accepted to the program.* Yes No If accepted, I agree to pay the full fee of $1800.* Yes No You will have the choice to pay annually (lump sum of $1800), quarterly ($450 x 4) or monthly ($150 x 12).