Hello I am an Entrepreneur Program Prescreening Form

This simple participant input form allows us to get to know a little more about you and your business/entrepreneurial interests. Please use as much space as you require.

"*" indicates required fields

Name*

First Last

Email*

Phone

Address*

Street Address City

Current career/employment

Why are you interested in participating in this program?

What are your expectations of this program?

i.e. What would you like to get out of it?

What areas of business would you like to focus on?

Do you have any entrepreneurship training? If so, please identify.

Do you have any special skills or experience?

e.g. Budgeting, business plans, management, market research, marketing, operations, product/service creation, etc.

Are you available to attend lunchtime workshops every week for twelve sessions?

Yes

This program will have some assignments for participants. Are you prepared to undertake them?

Yes

If you are already in business, please tell us about it.

e.g. Your business' website, number of years in business, description of your business, etc. 250 words maximum.

If you have been in business before, please describe your past experience.

250 words maximum.

If you are just thinking about getting into business, please describe your idea and why you feel it would succeed.

250 words maximum.

Other notes and comments.

Where do you hear about us or this program?*

e.g. Library website, social media, in-branch poster, recommended by someone, etc.

Name

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

This information will be submitted via email. .

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Hello I am an Entrepreneur Program Prescreening Form

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