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Contact
Please complete the form below found below.
* Means Mandatory
"
*
" indicates required fields
Full Name
*
First
Last
Cell Phone Number
*
Company Email Address
*
Gender*
*
Gender*
Female
Male
Non-Binary
Other
Prefer not to disclose
Racial/ethnic group do you identify with*
*
Racial/ethnic group do you identify with*
Asian
Black
Hispanic
Indigenous
White
Other
Prefer not to disclose
Company Name
*
Head Office Location
*
Title
*
LinkedIn Profile*
*
How did you first hear about this program?
*
How did you hear about this program? *
Email
LinkedIn
Social Media
Search Engine
Word of Mouth
Past participant
Other
Number of full-time sales people currently employed
*
Enter the number, not the word.
Secondary Contact Name
*
Who could take your place if there was a session you can't make?
Untitled
What is the title of the person who would take your place if there was a session you can't make?
Company website address
*
Industry*
*
Industry*
Accommodation and food services
Agriculture
Business services
Construction
Culture and recreation
Educational services
Finance, insurance, real estate, rental and leasing
Forestry, fishing, mining, quarrying, oil and gas
Health care and social assistance
Information Technology
Manufacturing
Non-Profit
Professional, scientific and technical services
Public administration
Transportation and warehousing
Utilities
Wholesale and retail trade
Other services
Business Type
*
Choose all that apply
Business to Consumer (B2C)
Business to Business (B2B)
Business to Government (B2G)
Company revenue in the last 12 months
*
$0 - $49,999
$50,000 - $99,999
$100,000 - $249,999
$250,000+
Projected company revenue in the next 12 months
*
$50,000 - $99,999
$100,000 - $249,999
$250,000 - $499,999
$500,000 +
Number of full-time employees
*
Enter the number, not the word.
Number of part-time employees
*
Enter the number, not the word.
How many employees do sales as part of their job?
*
Enter the number, not the word.
Entrepreneurship support programs you have already completed or are currently part of
*
List any entrepreneurship programs, cohorts, incubators or accelerators you have already completed and when you completed them or are currently part of and, if applicable, the expected completion date. E.g. TECTERRA, VMSA, GrowthX, Lean Stack, Digital Traction, Creative Destruction Labs (CDL), Platform, The Accelerator, Junction, 150 Startups, etc.
Why you?
*
Explain why you believe you are a good fit for the program and why you should be selected to participate.
Personal Participation
*
Do you personally commit to fully participate in the program and build a working sales playbook for your organization during the program?
Yes
No
Participation Conditions
*
I agree that by not fully participating in, or being removed from, the program as promised above, that I may be asked to pay the $1,500 registration fee for the program.
I agree to the conditions of participation
Comments
This field is for validation purposes and should be left unchanged.
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LDR Internship Form
A form for those interested in the LDR Internship Idea to express interest
Name
*
First
LinkedIn Profile
*
Cell Phone Number
*
Primary Email Address*
*
Submission Type
*
Tech startup looking for a Lead Development Rep intern
Student looking to be an Lead Development Rep for a tech startup
Experienced SDR / LDR or Sales Executive Looking to Help Out
Questions / Comments
Phone
This field is for validation purposes and should be left unchanged.
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