Corporate Partner Enrollment Form

Through our Corporate Partner program, we are asking companies like yours to mobilize your team members in support of small business owners from historically-excluded populations. Using our collected expertise, experience, and skills we can help more of our small businesses survive and pave the way for them to thrive. The Corporate Partner program is an opportunity for us to use our skills to make a difference.

Since 2002, the Institute for Entrepreneurial Leadership has helped thousands of entrepreneurs figure out creative ways to stay afloat and thrive despite not having access to general working capital or growth capital. Our work is more needed today than ever before. We need your help to expand our capacity to help more businesses. If we don’t act today, tomorrow will not be an option for the vast majority of the small businesses that make our communities great.

Together, we can make a difference!

Contact Information

Company Name*

First Name (that's you!)*

Last Name*

Title

Your Email*

example@example.com

Your Phone Number*

Please enter a valid phone number.

Company Website*

www.example.com

Logo and Social Media

Upload a logo (optional for website placement)

This will be used for your custom landing page.

Provide information for the company social media that you use. Enter the entire URL e.g.http://www.twitter.com/weareifel

Volunteer Contribution

Tell us the area(s) of expertise that your company can contribute:*

Other (please specify)

Use this space to provide additional context regarding your volunteer contribution if needed.

Is there a physical product or a service that your company would like to offer to participating small businesses or the organization?*

YesNo

If yes, please provide detail.