Mentee Application

An exclusive business development program of

Mentee Application

Date of application:

Business Owner(s):

Business Name:

Business Address:

City, State, Zip:

Phone: ( ) - Fax: () - Cell: () -

E-mail Address:

Web Address:

Qualification Questions:

Month/Year business began:

Percent of business owned by one or more women:

Are you a veteran? Yes No

Does the Applicant actively manage the business?Yes No

Number of employees (include applicant if applicable): Full Time Part Time

Date fiscal year ends:

Sales or revenue history (use annual fiscal year numbers; do not include cents):

Last fiscal year $ Previous fiscal year $ 2 years previous $

Projected for this fiscal year: $ Budget for next fiscal year: $

Business Questionnaire:

Do you have a business plan?Yes No

(If yes, please send business plan with application.)

Briefly describe your goals for the business.

Over the next one year:

Over the next five years:

Do you have financial projections for the next one to two years?Yes No

If yes, please send financial projections with application.

Does your business currently have a board of directors?Yes No

If yes, how many directors, and describe their areas of expertise.

Do you expect any significant change in business ownership or operation during the next 18 months?

YesNo

If yes, please describe.

Briefly describe your business’ products. Include any business literature with application.

Who are your three largest customers? Approximately what percentage of last year’s sales do they represent? Approximately what is your average size sale overall?

Briefly describe your business’ major strengths and major weaknesses.

Briefly describe your major competition and its/their strengths and weaknesses.

What are your primary tasks as president/owner? Which do you enjoy more: (a) running the business or (b) being in the industry?

What frustrates you most about running your business?

What is your highest business priority and how do you see the IGNITE Mentoring Program being able to help you reach that priority?

What industry associations or professional groups do you belong to?

What successful adviser/advisee relationships have you had while running this business? What good advice have they given you? How has this affected your business? Has it resulted in any lasting or permanent change?

You may email your application with a non-refundable processing fee of $50.00 to

If you are not accepted into the program, you will receive a complimentary consultation with one of our advisors to review your application and explain how you can improve specific business functions and outcomes so that you can reapply for the IGNITE Program. (This consultation is a $150.00 value).

Registration for IGNITE is $500.00 and once you are accepted a 50% payment of $250.00 is required to reserve your space in the program. The balance will be automatically billed to your account after the third month of coaching.

The information contained in this application is provided for the purpose of obtaining advice and guidance from the IGNITE Mentoring Program through the Women’s Business Center at the Florida Institute of Technology. I understand that the Women’s Business Center is relying on the information provided herein in determining our company’s suitability for the IGNITE Program, and therefore, I represent that the information provided is true and complete.

I also understand that as a candidate for mentoring, I will be interviewed in person by the selection committee as part of the qualification process.

Signature: Date:

Please email completed application and attachments to: or mail to:

Beth Gitlin

Women’s Business Center

Florida Institute of Technology

150 West University Blvd

Melbourne, FL 32901