Entrepreneurship Corner Interest Form

Welcome -- we're so glad you're here!

Thank you for your interest in the the Women in DSO Entrepreneurship Corner program. Created in partnership with Dental Innovation Alliance (DIA), this self-paced curriculum is designed to empower and educate aspiring entrepreneurs and investors.

Participants must be at least 21 years of age and be a current member of Women in DSO to participate.

Not a member? Start your membership now and be eligible to join the Entrepreneurship Corner program. Visit www.womenindso.org or email us info@womenindso.org to join.

Name*

Email Address*

Phone Number*

Phone

Current Employer*

Title*

WinDSO Member Type*

DSO Member

Industry Partner Member

Professional Leader/Individual Member

Not a Member

Join Women in DSO now!

Not a member, start your membership now and be eligible to join the Entrepreneurship Corner program. Visit www.womenindso.org to join - we'd love to have you!

I'll join now at the Women in DSO website

Contact me about joining Women in DSO

Current Occupation Type?*

Student

Working Professional

Founder/Self-Employed

Other, please describe below

Other Occupation Type

Tell us about yourself and the type of information you are seeking*

I'm interested in learning more about an Investor

I'm interested in learning more about entrepreneurship.

I'm interested in both

Rate your current investment knowledge*

Select or enter value

Are you currently investing?*

Yes

What type of investing guidance are you seeking?*

Learning about the basics of investing

Early-stage company investing

Special purpose vehicle (SPVs)

Long-term investment opportunities

Do you have other investment types not listed above?

Are there other investment types you would like to learn about?

What type of investment guidance are you seeking?*

Advisor-level involvement

Help with due diligence

Investing opportunities

Learning about investing

List any other type of investment guidance which would be helpful.

How would you describe your current entreprenuerial experience?

Select or enter value

As an entrepreneur, what are you interested in learning more about?*

Select all which apply.

Do you have any other areas of interest, please list?

Briefly tell us about your journey as an entrepreneur*

Do you have other experience raising capital, please list?*

Do you currently have specific business ideas you would like develop?*

Yes

If possible, please share the business ideas you would like to develop?

Note: Information shared should not be considered of a confidential nature.

Any additional comments or questions?

Consent for follow-up*

Yes, contact or send me follow-up communications and information.

No, do not contact or send me follow-up communications or information.

Thank you for your interest.

By submitting this Interest Form, you acknowledge that your information will be sent to the Women in DSO Entrepreneurship Corner committee for review and follow-up.

After review, a member of the Entrepreneurship Corner Committee will reach out via email to confirm and discuss next steps.

Send me a copy of my responses

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