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* 1. Name (first and last)

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* 2. Which class are you registering for?

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* 3. Contact Information

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* 4. How did you hear about our class?

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* 7. Race/ethnicity (check all that apply)

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* 8. Employment Status

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* 9. Number of people living in your house

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* 10. Do you currently own a business?

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* 11. What is your level of experience in the field of your small business?

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* 12. When was the last time you reviewed your credit?

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* 13. Do you currently have a written business plan?

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* 14. Have you attended any business trainings in the past?

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* 15. How much capital do you currently have for your business?

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* 16. What would you most like to learn or see covered in class?

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