Application for sponsored enterprise

Name :
First name :
Sex :Male
Female
E-mail Address: *
Address (No. & street)
City :
Postal code :
Name of company or enterprise :
Home :
Work :
Cellular :
Fax :
Have you been in business before ?Yes
No
Have you a Quebec registered enterprise number?
Are you the leading shareholder?Yes
No
What is your function?
Are you :under 35
over 35
Is your company located in your home?Yes
No
Number of employees :
Refered by :
Companys line of business :Retail trade
Farming, fishing, forestry
Industry
Construction
Service
Transport
Tourism
New economy
New technologies
Other
Companys type of activity:Manufacturing
Distribution
Research and development
Export
Retail selling
Other
Describe your company, its main activities, in a few words : (products, customers, service area...)
What are your motivations for resorting to the business mentorate service??
What are your expectations from your mentor?
Which levels of performance would you wish to improve via business mentorate?Selling
Marketing
Human resources
Networking
E-commerce
Operation management

* Required