Application for CWBC Building Websites: Connecting Entrepreneurs Program

Deadline: June 30, 2018
All fields must be completed: form cannot be saved and submitted later.

The program will take participants from constructing to launching a simple 5-page information website using Wordpress by the end of the 4-week course (an additional 2-week ecommerce extension is available). Applications for the program will close at midnight on June 30, 2018. Accepted applicants will be notified by Friday, July 13, 2018 and will be required to pay by 5pm on Friday, July 20, 2018 to secure their spot.

The program begins August 15, 2018 and runs through September 5, 2018 (four Wednesday nights from 6-8pm) and the additional e-Commerce portion runs from September 12, 2018 through September 19, 2018 (two Wednesday nights from 6-8pm). For more information about the program, view the recorded information webinar here.

Question Title

* 1. Have you registered a domain name for your business? (Read more about domain names and how to register them here).

Yes

Please provide your domain name (URL) AND the registrar you used (eg, GoDaddy) (a registered domain name is required for this course):

Question Title

* 2. The first four weeks of this program will take participants from constructing to launching a 5-page information website. The final two weeks will show you how to set up a shopping cart for sales on your site. Please select your program option:

I will participate in the four-week information website program but WILL NOT take part in the 2-week e-commerce session. ($75 total cost, including 6 months of hosting)

I will participate in the four-week information website program and WILL ALSO take part in the 2-week e-commerce session. ($95 total cost, including 6 months of hosting)

Question Title

* 3. Please provide the following information:

First Name

Last Name

Middle Initial

Primary Phone

Street Address

City

State

Zip Code

Question Title

* 4. Do you own your own business?

Yes

If yes, please provide the month and year your business started:

Question Title

* 5. Please upload a sample document with a 1-2 sentence description of your business along with any written content you would include on your website (at a minimum, upload one sample page of content).

PDF, DOCX, DOC file types only.

Choose File

Question Title

* 6. Please upload your company logo along with 2-3 images you plan to include on your website.

To upload more than one image, please create a PDF document or drag and drop multiple images into a Microsoft Word document.

DOCX, DOC, JPEG, JPG, PDF, PNG file types only.

Choose File

Question Title

* 7. Please provide the following information about your planned business website:

Do you currently have a website? (If so, please provide the website address)

Have you tried building a website before and, if so, what platform did you use?

Describe the website you want to build for your business through this program:

List any print or electronic materials you currently use to promote your business (brochure, business card, powerpoint, video, pitch deck, etc)

Question Title

* 8. Please indicate your gender identity:

Male

Female

Other / Do not wish to answer

Question Title

* 9. Do you identify as a person having a disability?

Yes

Do not wish to answer

Question Title

* 10. Please indicate your racial identity/ethnicity:

African American / Black

Asian

Native American / Alaskan Native

Native Hawaiian / Other Pacific Islander

Caucasian (Not of Hispanic Origin)

Hispanic Origin

Application for CWBC Building Websites: Connecting Entrepreneurs Program

Deadline: June 30, 2018
All fields must be completed: form cannot be saved and submitted later.

Question Title

* 1. Have you registered a domain name for your business? (Read more about domain names and how to register them here).

Question Title

* 2. The first four weeks of this program will take participants from constructing to launching a 5-page information website. The final two weeks will show you how to set up a shopping cart for sales on your site. Please select your program option:

Question Title

* 3. Please provide the following information:

Question Title

* 4. Do you own your own business?

Question Title

* 5. Please upload a sample document with a 1-2 sentence description of your business along with any written content you would include on your website (at a minimum, upload one sample page of content).

Question Title

* 6. Please upload your company logo along with 2-3 images you plan to include on your website.

Question Title

* 7. Please provide the following information about your planned business website:

Question Title

* 8. Please indicate your gender identity:

Question Title

* 9. Do you identify as a person having a disability?

Question Title

* 10. Please indicate your racial identity/ethnicity:

Question Title

* 11. Please indicate any military/veteran status:

Question Title

* 12. Please type your name to serve as your electronic signature and to confirm your application: