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APPLICATION FOR MOGULS IN MOTION

Basic Information

Full Name *

Email Address *

Gender *

Age *

Grade Level *

City *

State *

Parent/Guardian Full Name *

Parent/Guardian Phone *

Parent/Guardian Email *

Social Media Handles (Instagram, TikTok, etc.) *

Other Details

What is your biggest dream, and how do you plan to achieve it? *

If you could start a business today, what would it be & why? *

What entrepreneurs or business leaders inspire you the most? *

Have you ever started a business or project? (If yes, describe it!) *

What is one challenge you’ve faced and how did you overcome it? *

Why do you believe you should be chosen for this experience? *

Write a Short Essay (300-500 words) answering:

• Why should you be selected for this experience?

• What is a business idea or project you’re passionate about?

• How would this experience help you grow as a leader?

Short Essay (300-500 words) *

I agree to the terms and conditions listed here.

I grant Nehemiah Davis, The Nehemiah Davis Foundation of Philanthropy, Circle of Greatness, and Urban Art Gallery the permission to use my name, image, voice, likeness, testimonials, and submitted content (including photos and videos) in promotional and marketing materials, including but not limited to:
Social media platforms (Instagram, TikTok, YouTube, Facebook, etc.), Website and email marketing, Advertisements, online courses, webinars, and live events, Program materials and success stories

I understand that: All content may be used for promotional and marketing purposes. I will not receive any financial compensation for the use of this media. The content may be edited and used across multiple platforms.

I waive any rights to inspect or approve final materials.
I release the company and its affiliates from any liability related to the use of this media.

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USE THE FORM BELOW TO COMPLETE YOUR

APPLICATION FOR MOGULS IN MOTION

APPLICATION FOR MOGULS IN MOTION

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