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1704 Bellefontaine St., Indianapolis, IN 46202

info@buildfund.org

Pre-Application

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EmpowerHER Cohort
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Empower HER Cohort Application

The EmpowerHER Cohort, presented by Build Fund & The Woman Print® Foundation, is a scholarship-based program designed to support aspiring and early-stage women entrepreneurs.

The cohort begins in April 2026.

Ready to start the process? Fill out the application below!

EmpowerHER Cohort Application

*Applications close on Friday, February 27th*

Commitment to Excellence

By applying to this program, you acknowledge that:

You are committed to your business growth.
You will complete all monthly tasks and attend required meetings.
You understand the value of the scholarship being awarded and will treat the opportunity with professionalism and respect.

"*" indicates required fields

Step 1 of 4

25%

X/Twitter

This field is for validation purposes and should be left unchanged.

Name*

First Middle Last

Date of Birth*

MM slash DD slash YYYY

Business Name*

If you have not created this business yet, please type in N/A.

Title/Role in Business*

Phone*

Email*

Preferred Method of Contact*

Phone

Email

Text

Will child care be needed for you during sessions?*

Sessions will be on Thursday evenings from 6-8pm.

Yes

No

Business Information

Business Address*

Street Address Address Line 2 City State ZIP Code

Business Website (if applicable)

Business Type/Industry*

Legal Structure*

Sole Proprietorship

Partnership

LLC

Corporation

Other

Other

Date Business was Established with Secretary of State*

MM slash DD slash YYYY

Number of Employees*

1 (owner only)

2-5

6-10

11-25

26+

(including owner)

Annual Revenue (last 12 months)*

For 2025 or 2024 if you don't have this information yet.

Under $50,000

$50,000-$100,000

$100,000-$250,000

$250,000-$500,000

Over $500,000

Please upload a high-resolution version of your logo.

Preferred file types are: EPS, PDF or PNG

Drop files here or

Max. file size: 50 MB.

Please provide links to any social media accounts your business or you use:

LinkedIn Profile

Instagram Profile

Facebook Page

YouTube Page

Threads Profile

X Profile

Other

Program Goals

Briefly describe your business and its mission:*

What challenges are you currently facing in your business?*

What specific support are you hoping to gain from the Build Fund Technical Assistance Program?*

(e.g., Financial planning, marketing, operations, loan readiness, etc.)

Have you participated in any other business support or technical assistance programs before?*

Yes

No

If yes, please describe:*

Are you prepared for a 8-month Cohort Program that prepares you to be a successful business owner?*

Yes

No

Other

Please upload any information related to your business you would like to share with us.

Drop files here or

Max. file size: 10 MB.

Demographics Information (Optional, for grant and program reporting purposes only)

Race/Ethnicity

Black or African American

Hispanic or Latino

White

Asian

Native American or Alaska Native

Native Hawaiian or Other Pacific Islander

Two or More Races

Prefer not to answer

Gender

Female

Male

Non-binary/Other

Prefer not to answer

Declaration

Consent*

I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that submitting this application does not guarantee enrollment into the program.

Participant Agreement*

I agree to the below information and have read all the program requirements & expectations.

By signing my name below, I affirm that I have read and understand the terms, responsibilities, and expectations outlined in this agreement for participation in the EmpowerHER Cohort. I agree to comply with these terms to the best of my ability and to fully engage in the program with professionalism, commitment, and integrity.

Your Name

First Last

Today's Date

MM slash DD slash YYYY

The Woman Print Foundation

Build Fund, a certified CDFI, is a loan fund operated by Intend Indiana that connects small businesses to financing to create opportunities in the communities they serve. We invest in businesses by providing loans to launch or expand, purchase or rehab a building, and support minority, women, veteran, or disabled-owned businesses.

Contact Us

Address:
1704 Bellefontaine St., Indianapolis, IN 46202

Phone: 317-924-8116

Email: info@buildfund.org

Intend Indiana

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