INCubatoredu@CCPS Volunteer Interest Qualification Form

	Volunteer Interest/Qualification Form

	CONTACT INFORMATION

	Name:*

	Street Address:

	City, State, Zip Code:

	Cell Phone:

	Work Phone:

	E-mail Address:*

	ROLE

	Which role(s) are you interested in?* Select at least 1.
	Champion  Coach  Mentor  Committee Chair/Advisory Board

	COACHING OPPORTUNITIES

	Indicate which topics you are interested in coaching. Please limit to 1-3 top choices. Place a 1 next to the top choice, 2 for the second, and 3 for the third. Rank the items below, using numeric values starting with 1.
	Group Ideation   Value Proposition   Market Sizing/Share Estimates   Financial Statement Overview   Financial Modeling   Legal Workshop   Internet Marketing   Web Development/WordPress   Writing an Implementation Plan   Permit Process/Initiation   Determining IT Needs   Determining Your Growth Engine   Creating a Marketing Plan   Creating a Sales Plan and Approach   Staffing Plan/HR Processes   Operational Processes - SOPS   Insurance Workshop   Financial Statement Set-Up   Funding Request

	MENTOR INTERESTS

	Choose up to 3 high schools that you would be interested in mentoring.* Select at least 1 and no more than 3.
	Barron Collier High School    Golden Gate High School    Gulf Coast High School    Immokalee High School    Lely High School    Lorenzo Walker Technical High School    Naples High School    Palmetto Ridge High School

	PROFESSIONAL BIO

	Please summarize your professional bio that we can use in promoting the program. If you would prefer to email your bio or if you have a photo (headshot) available, please email Courtney Stahlman at stahlc@collierschools.com.

	RELATED EXPERIENCE

	Please list the related experiences you plan to utilize in your role. Feel free to email a CV/resume to Courtney Stahlman at stahlc@collierschools.com.