Launchpad Enrolment Form - Female Founder

Knoei Launchpad Enrolment form – Female Founders program

Program Choice(Required)

Please note this is not a binding financial agreement but is indicative only. Scholarship applications will be confirmed following applications. The Female Founders program is subsidised for all participants.

First Name(Required)

Middle Name

Last Name(Required)

Date of Birth(Required)

Gender(Required)

Participant Contact

Mobile Phone(Required)

Participant Email(Required)

Alternate Email

Location

Suburb(Required)

Post Code(Required)

Program Suitability

Short description of business focus/ operations(Required)

Rationale for inclusion or exclusion in program(Required)

Name of business

If known

Position within your business

If known

Finalise Application

Program Participation Acknowledgement(Required)

I agree to participate in the Female Founders program and attend mentor and program sessions for the duration of the program.

Female Founders (Advance Queensland – Privacy Statement)(Required)

I confirm that I have read and agree to the Advance Queensland Privacy Statement

Knoei Launchpad – Program Engagement Agreement(Required)

I confirm that I have read and agree to the Knoei Launchpad Confidentiality Agreement

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