Level Up Program Application

First Name:
Part A

Last Name:

Date of Birth:

Address:

City:

Zip Code:

Cell Phone:

Alternate Phone:

Email Address:

Gender:

How did you hear about us?:

Marital Status:

Are you a Veteran?:

Are you a U.S. Citizen?:

Are you or any relative an employee of Center for Transforming Lives?:

Are you interested in Level Up Career Readiness/Self-Employment services because COVID-19 has impacted you financially?:

Are you at risk of losing your housing for one or more of the following financial reasons? Check all that apply:


Part B
Do you currently have a business, or a business idea? (Check statement that best apply.):

If other, please explain:

Please provide a short business (or business idea) description
Products or services:

Strengths in business:

Weaknesses in business:

Future goals in business:

Is there any additional relevant information that you would like to share?:

*A one page summary can be typed and attached to your application if more space is needed. One page limit for Part B.

Part C
What are three things you would like to get from this program?:

FOR SELF-EMPLOYED/MICROENTERPRISES
Why should you be selected for the Level Up Program?:


Part D
Participants are considered for the Microenterprise Program based on the following criteria:
Arlington, TX and Fort Worth, TX residents
At least 18 years old
Attendance of at least one Info Session and submission of application and resume by the deadline,_______________.
Commitment to start or continue building a business by completing program requirements to:
Write a strong business plan
Receive individual financial coaching
Receive one-on-one business mentorship
Participate in business learning labs
Create legal structure for business
Open business checking account
Note: No previous business education or entrepreneurial experience required.
Please submit the following documents:

Signature:

Date:

About

Center for Transforming Lives works side-by-side with women and their children to disrupt the cycle of poverty throughout Tarrant County. Our services are two-generational and establish long-term financial and emotional well-being.

Center For Transforming Lives

512 West 4th Street
Fort Worth, Texas 76102

info@transforminglives.org
(817) 332-6191

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Level Up Program Application

Part A

Part B

Please provide a short business (or business idea) description

Part C

FOR SELF-EMPLOYED/MICROENTERPRISES

Part D

Participants are considered for the Microenterprise Program based on the following criteria:

Commitment to start or continue building a business by completing program requirements to:

About

Center For Transforming Lives

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