top of page
Donate Today
Menu
Button
Close
HOME
OUR FOUNDER
ABOUT
BOARD MEMBERS
PARTNERS
PROGRAMS
IMPACT
MEDIA
EVENTS
DONATE TODAY
JOIN OUR TEAM
INTAKE FORM
YOUTH MENTORSHIP FORM
Worthy Entrepreneurship Intake form
“Building Business with Purpose & God-Given Vision”
First name
Last name
Phone
Email
Faith & Purpose Alignment
Do you identify as faith-based ?
Yes
No
Open to faith-based guidance
How does your faith influence your desire to start or grow a business ?
What scripture, belief, or principle currently motivated you in this season ?
Are you currently:
Aspiring Entrepreneur ( Idea Stage)
New Business Owner (0-1 year)
Growing Business Owner (1-3 Years)
Established Business Owner (3+years)
Business Name ( if applicable )
Type Of Business Industry
Do you currently have:
LLC/ Registered Business
EIN
BUSINESS BANK ACCOUNT
NOT YET
What is your God given vision for your business ?
What are your top 3 goals for the next 6-12 months?
what challenges are you currently facing in your business or idea?
Clarity/ Direction
Confidence
Pricing
Branding & Identity
Business Structure & Setup
Accountability & Prayer
Strategy & Growth Planning
Have you ever worked with a mentor or coach before ?
Yes
No
On a scale of 1-10, how committed are you to building your business with discipline and faith?
1
2
3
4
5
6
7
8
9
10
Are you open to prayer, biblical principles, and accountability as part of this program ?
Yes
No
Unsure but open
Is there anything else you would like us to know about you or your journey?
Submit
bottom of page
