Apply For Jumpstart Adults

Personal Information (all required fields)

Name

Home Address

Organization Name

Organization Address

Mobile Number

Date Of Birth

What is Your Gender?

Female Male

This is for anonymous reporting only to ensure we are equitable to our community.

What is Your Ethnicity?

Asian Black/African American Hispanic/Latino Native American White/Caucasian Other

Are you a North Green Wood resident?

Yes No

Experience * Commitment to Developing In North Green Wood (all required fields)

Number of Units You Have Developed

What Type of Projects Have You Developed (Select All That Apply)

Describe Your Interest in Real Estate Development/Investing

Describe Your Prior Real Estate Experience, if any

What Do You Hope to Gain Through Jumpstart Clearwater Training and Mentoring?

Describe Your Community Interest in, or connection to, North Green Wood

Describe Your Interest In and Commitment to Developing North Green Wood

Describe Your plans/ideas for Developing North Green Wood

What is Your 5 Year Real Estate Development Goal?

Have you attended a real estate Training Program elsewhere?

Yes No

Is There Anything Else We Should Know About You?

How did you hear about Jumpstart Clearwater?

What will be the best time for you to attend Jumpstart Clearwater sessions?

Afternoons (2p - 5p) Evenings (5:30p - 8:30p) Both

Jumpstart Clearwater program participates are required to attend an orientation and all workshops in order to complete the program.

By checking this box and submitting this application, you are commiting to attend 1 - Orientation (2 hours) and 4 Workshops (3 hours each)

PO BOX 5533 Clearwater Florida 33756