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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Mailing Address

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* 6. What city is your business located or will be located in?

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* 7. How did you hear about our entrepreneurship program?

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* 8. Business Name

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* 9. Business Website and/or social media handles?

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* 10. What does (or will) your business do?

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* 11. What is the type or industry of your business?

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* 12. If you are in business, are you a certified business owner (check all that apply)?

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* 13. Is this your first business?

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* 14. Is your business operating? 

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* 15. Describe to us your ideal customer - the group of people to which you would sell your product or service.

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* 16. Describe your marketing strategy for the business you'd like to start or grow. How will your customers hear about you? What's your plan to grow your customer base?

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* 17. Can you provide an estimate of the costs that you'll need to start or grow your business and what it will be used for.

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* 18. Tell us how you plan to make money, how much money you plan on making each month, and how much you'll need to make to be profitable. Is there more than one way that your business will make money?

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* 19. Why will people spend money on your business and not someone else's in the same industry?

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* 20. Describe your competition (their branding, types of products, their target market, if they're local or national or both, etc.)

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* 21. Describe the vision and milestones for your business in the next 1 year? 3 years?

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* 22. Which category below includes your age?

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* 23. Do you identify as? (please select all that apply)

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* 24. With which gender(s) do you most identify?

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* 25. What is the highest level of school you have completed or the highest degree you have received?

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* 26. Which of the following categories best describes your employment status?

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* 27. How much total combined money did all members of your household earn in 2020?

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* 28. What are the competing priorities that might hinder your full participation in the program?

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* 29. Upon program completion, will you be utilizing TEDC lending for your business in any of these loan amounts? (Check all that apply) 

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* 30. Would you like to be considered for tuition assistance? 

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* 32. Are there any special financial circumstances we should consider? 

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* 33. Would you require accommodations to attend sessions? Please list below (optional).

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