Financial Assistance Application

Applicant

Please submit financial assistance applications no later than Thursday, March 13, 2025, at 12 noon. Questions can be directed to Caitlyn Bergman at caitlyn@pbnchamber.com.

Title

First Name (required)

Last Name (required)

Suffix

Phone Number (required)

Please use the best phone number to reach you at.

Email Address (required)

Please use the e-mail address you would like to be notified of anything related to the Mentorship Bootcamp program.

Company Name (required)

If none currently please put 'N/A'

Job Title

What is your exact job title?

Have you attended any of the previous sessions? (required)

Yes

No - Did Not Know About It

No - Did Not Have The Funds

Please tell us if you have participated before or wanted to but could not due to financial restrictions.

Current Employment (required)

New to the Workforce

Changing Careers

Personal/Professional Growth

Check only one.

Confirm you agree to attend ALL of the scheduled sessions (virtual sessions will be held the 2nd Tuesday from 12-1 p.m.) (required)

April 17, 2025: In-Person Kickoff (5-6:30 PM, Location TBD)

April 22, 2025 (Virtual, 12-1 PM): Public Speaking - Perfecting your story - Elevator Speech

May 27, 2025 (Virtual, 12-1 PM) - How to be a Power Networker Panel: Choosing the Right Place to Network

June 24, 2025 (Virtual, 12-1 PM) - Building Your Career Through Community Involvement

July 22, 2025 (Virtual, 12-1 PM) - Personal & Professional Goal Setting

August 26, 2025 (Virtual, 12-1 PM) - Elevating Your Personal and Professional Brand

September 30, 2025 (Virtual, 12-1 PM) - Being a Lady with Confidence: Success Driven by the Fierce and Fearless

October 7, 2025: In-Person Final Session & Presentations (5-6:30 PM, Location TBD)

By participating in this program we expect you to show up at each of scheduled times. Please be respectful of the time each of the facilitators put into each session as well as your mentor who is volunteering her time to help you to succeed.

How much financial assistance are you in need of? (required)

$100 0ff (Members rate: $249 / General admission: $299)

100% Financial Assistance

Tell us how much of a scholarship you are in need of!

If you were awarded this scholarship how would you pay it forward? (required)

Please tell us why you feel this a program that is important to you (200 words or less). This web form will only take about 1100 characters including spaces. Please use Microsoft Word to measure then copy/paste.

Payment Information (required)

Mentorship investment is payable in advance and non-refundable,

Are you a Chamber Member?

Yes

A $30 non-refundable application fee is required to process all applications. You will be notified via email if you have been approved for your chosen financial assistance request.

Billing Address

Billing Zip Code

Credit Card Number

CVC

Expiration Month

Expiration Year