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Attendee List for 2021 Entrepreneurial Workshop
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Are you 8(a)certified?
How did you hear about this program?
Name
Name of Business
Phone Number
Preparation Hours (SBA) for this session: ____________ hours
Race, Ethnicity, Gender
Referred by? (Mark all that apply)
Total No. of Employees (Full & Part time. Including you = 1 employee)
Type of Business
Veteran Status
Are you a home based business?
What is the legal entity of your business?
What is the nature of counseling you are seeking?
Will you be attending In-Person or Virtually?
Are you currently in business? If so, what is your business name?
Business Ownership (What percentage of your business is male or female owned, __% Male, __% Female)
Date Business Started: (mm/dd/yyyy)
Do you conduct business online?
Do you consider yourself a person with a disability?
Email Address
For your most recent full business year, did you achieve Revenue Growth?
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