Mastering your Mindset for Business Success Please enable JavaScript in your browser to complete this form.1Contact Information2Work Information3Tell Us About Yourself!Name *FirstLast Email *Phone Number *Home Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryNextJob TitleCompany/Organization NameWork PhoneCompany/Organization WebsiteNextDo you live in Southern Alberta? (Excluding Calgary) *YesNo, you are not in our mandated areaWhere are you located? *Please list where you are locatedAre you currently a WESTEM or Tecconnect+ED Client? *- Please Select - YesNoHave you completed a Client Profile & Terms of Engagement? *- Please Select -YesNoUnsureWould you like to receive event updates through our WESTEM newsletter? *- Please Select -Subscribe to our WESTEM newsletterDon't subscribe to the WESTEM newsletterWhat is your reason for registering for this event? *- Please Select -I am an entrepreneurI am a service provider who supports entrepreneursI am a service provider & I am an entrepreneurHow do you gender identify? *- Please Select -FemaleMaleNon-binaryWould rather not sayDo you self-identify as a member of an underrepresented group? Check all that apply: *WomenImmigrant/PRRefugeeVisible MinorityIndigenousLGBTQ2+SeniorPost-SecondaryStudentYouthRuralUnemployed/UnderemployedN/AWhat is your business structure? *- Please Select -Sole ProprietorshipPartnerCorporationCo-operativeSocial EnterpriseN/AHow did you hear about this event? *E-mailSocial MediaWESTEM WebsiteEconomic Development LethbridgeEventbritePrintAdvertisementRadio AdvertisementReferralWho referred you? *Please provide the name of the organization/person that referred you. Additional Terms *I agree to the additional terms listed belowWESTEM programming is mandated to support female entrepreneurs & women-owned businesses in Southern Alberta; does not include Calgary. WESTEM business advisors are only able to offer services to those located in Southern Alberta; does not include Calgary.Terms of Engagement *I agree to the terms of engagement listed belowWhat Business Advisors & Program Facilitators Will and Won’t Do: Your Business Advisors & Program Facilitators can connect you with other services in the entrepreneurial ecosystem. However, it is important to understand Business Advisors & Program Facilitators are not responsible for the decisions of other organizations you are referred to. While your Business Advisors & Program Facilitators may provide you with information, recommendations or advice, the decision to act or not act is yours alone. While Business Advisors & Program Facilitators are an excellent source of information, you know your business best. As a result, neither Business Advisors nor Program Facilitators will have any liability for the decisions you make, or for any results of Business Advisors’ or Program Facilitators’ advice. Submit