Application – EFC 2027

Thank you for your interest in the Entrepreneurial Fellows Program from the Institute for Entrepreneurial Excellence. Complete the form below as your application to join the 2027 class.

"*" indicates required fields

Applicant First Name*

Applicant Last Name*

Title*

Organization*

Email*

Work Phone*

Mobile Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is your company's primary business?*

Website*

Name of Owner/President/CEO*

Year Founded*

NAICS Code*

# of Employees*

Founder only (no employees)

2-5

6-15

31-50

51-100

More than 100

Annual Revenue (approx.)*

Annual Sales Growth in last 12 mos. (%)

Graduated College?*

Yes

College/University

Degree

Application Information and Fees

All information is strictly confidential and will be used for class selection purposes.
Only one company per industry is selected. Potential for class synergy is used in the selection process. Class size is limited.
All inclusive fee of $5,500 is due upon acceptance (minus discounts, if applicable).

Attendance Policy
Your participation in the monthly meetings is crucial to the success of the program. Attendance is mandatory; you are only permitted to miss a maximum of two classes. Graduation certificates cannot be issued to those who have missed more than two classes. In the case that you cannot attend a session, please notify us as soon as possible. There are no substitutes permitted in the event you are unable to attend class.

Signature (Please type your full name)*

Please type your full name to acknowledge your acceptance of the policies and financial obligations of the Entrepreneurial Fellows Class.

Date*

MM slash DD slash YYYY

If accepted, I am fully committed to attending all sessions and coming prepared to embark on a voyage of lifelong learning that will result in the success of my business for generations to come.*

Yes

How did you hear about EFC 2027?*

Flyer/Brochure

Email Promotion

IEE Website

Facebook

Newspaper/Magazine Ad

Referral/Word-of-Mouth

In-Person Event

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Institute for Entrepreneurial Excellence|3520 Forbes Ave. Pittsburgh, PA 15261

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Institute for Entrepreneurial Excellence|3520 Forbes Ave. Pittsburgh, PA 15261

Application – EFC 2027

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