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Mortar & FastTrac Tulsa
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email Address
(Required.)
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4.
Phone Number
(Required.)
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5.
Mailing Address
(Required.)
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6.
What city is your business located or will be located in?
(Required.)
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7.
How did you hear about our entrepreneurship program?
(Required.)
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8.
Business Name
(Required.)
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9.
Business Website and/or social media handles?
(Required.)
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10.
What does (or will) your business do?
(Required.)
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11.
What is the type or industry of your business?
(Required.)
Services (counseling / education / consulting / etc.)
Services (construction / automotive / trucking / etc.)
Restaurants and Food/Beverage Service
Retail
Manufacturing
Entertainment
Other (please specify)
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12.
If you are in business, are you a certified business owner (check all that apply)?
(Required.)
Not Incorporated
LLC - Limited Liability Company
Sole Proprietorship (I claim my business earnings on my personal income tax)
S Corp/C Corp/Other
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13.
Is this your first business?
(Required.)
Yes
No
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14.
Is your business operating?
(Required.)
Yes
No
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15.
Describe to us your ideal customer - the group of people to which you would sell your product or service.
(Required.)
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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?
(Required.)
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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.
(Required.)
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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?
(Required.)
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19.
Why will people spend money on your business and not someone else's in the same industry?
(Required.)
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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.)
(Required.)
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21.
Describe the vision and milestones for your business in the next 1 year? 3 years?
(Required.)
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22.
Which category below includes your age?
(Required.)
18-20
21-29
30-39
40-49
50-59
60+
I prefer not to answer this question
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23.
Do you identify as? (please select all that apply)
(Required.)
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic / Latino / Latina / or Latinx
Middle Eastern or Northern African
Native Hawaiian or Other Pacific Islander
White
I prefer not to answer this question
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24.
With which gender(s) do you most identify?
(Required.)
Please select all that apply.
Man
Women
Non-Binary
I prefer not to answer
Another option not listed here (please specify below):
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25.
What is the highest level of school you have completed or the highest degree you have received?
(Required.)
Less than high school degree
High school degree or equivalent (e.g. GED)
Some college but no degree
Associate degree Bachelor degree
Graduate degree
I prefer not to answer this question
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26.
Which of the following categories best describes your employment status?
(Required.)
Self Employed- 30 or more hours per week
Employed - working 1-29 hours per week
Employed - working 40 or more hours per week
Not employed - looking for work
Not employed- NOT looking for work
Retired
Disabled - not able to work
I prefer not to answer this question
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27.
How much total combined money did all members of your household earn in 2020?
(Required.)
$0 – $9,999
$20,000 – $29,999
$30,000 – $39,999
$40,000 – $49,999
$50,000 – $59,999
$60,000 – $69,999
$70,000 – $79,999
$80,000 – $89,999
$90,000 – $99,999
$100,000 or more
I prefer not to answer this question
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28.
What are the competing priorities that might hinder your full participation in the program?
(Required.)
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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)
(Required.)
Up to $5,000
$5,000 - $25,000
$25,000 - $50,000
My business will require more than $50,000 to benefit
I will not require lending
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30.
Would you like to be considered for tuition assistance?
(Required.)
Yes
No
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31.
Scholarship Amount Requested
(Required.)
25% of Tuition
50% of Tuition
N/A
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32.
Are there any special financial circumstances we should consider?
(Required.)
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33.
Would you require accommodations to attend sessions? Please list below (optional).
(Required.)
Current Progress,
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