Doyenne

Doyenne Founder Series

Step 1 of 4

25%

NAME*

EMAIL*

PHONE*

BUSINESS NAME*

Website

ADDRESS* STREET ADDRESS

ADDRESS LINE 2

CITY

ZIP / POSTAL CODE

COUNTRY

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 ETHNICITY

Doyenne 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

Alaska Native Asian or Asian American Black or African American Hispanic or Latino Indigenous American Middle Eastern or North African Native Hawaiian or Other Pacific Islander White or Caucasian Other Prefer Not to Answer

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 full-time in my business (30-40+ hrs per week)
I work full-time in my business (30-40+ hrs per week)

IF YOU DO NOT CURRENTLY WORK FULL-TIME IN YOUR BUSINESS, PLEASE DESCRIBE YOUR PLAN/TIMELINE FOR TRANSITIONING TO FULL-TIME.

0 of 250 max characters

DID YOU TAKE A SALARY/INCOME FROM YOUR BUSINESS IN 2018?* Yes
No

Step 2 of 4

50%

What problem/opportunity does your business address for its customers?*

0 of 500 max characters
Please focus on your customer's experience/situation here-not your solution to it

Who are your primary and/or ideal customers?*

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Please indicate if you are hoping to change and/or expand your customer types.

How does your product/service solve the customer's problem?*

0 of 500 max characters
Describe how your product/service works and its key features

How does your product/service solve the customer's problem?*

0 of 500 max characters
What is your competitive advantage?

When did you found or purchase your business?*

0 of 100 max characters
Please provide month and year

Where is the Principal Office or Headquarters of your business located?*

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Do you have any co-founders? If yes, please list their names and roles.*

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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+

Step 3 of 4

75%

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 apply

Describe 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*

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Please share any additional information about you and/or your business that you feel is relevant for us to consider

0 of 750 max characters

Step 4 of 4

100%

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.).

0 of 1000 max characters

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).