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FastTrac GrowthVenture Application
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1.
Which course are you registering for?
(Required.)
GrowthVenture 1.5 - Science, Industry + Business Library (SIBL) - Manhattan
T/TH, 3:30pm -7:30pm
03/19/19, 03/21/19, 03/26/19, 03/28/19, 04/02/19, 04/04/19, 04/09/19, 04/11/19
GrowthVenture 1.6 - Central Library - Brooklyn
M/W, 4:30pm - 8:30pm
06/03/19, 06/05/19, 06/10/19, 06/12/19, 06/17/19, 06/19/19, 06/24/19, 06/26/19
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2.
First Name
(Required.)
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3.
Last Name
(Required.)
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4.
Email Address
(Required.)
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5.
Phone Number
(Required.)
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6.
What is the highest degree or level of school you have completed? (If you’re currently enrolled in school, please indicate the highest degree you have received)
(Required.)
Less than a high school diploma
High school degree or equivalent (e.g. GED)
Some college, no degree
Associate degree (e.g. AA, AS)
Bachelor's degree (e.g. BA, BS)
Master's degree (e.g. MD, DDS, DVM)
Professional degree (e.g. MD, DDS, DVM)
Doctorate (e.g. PhD, EdD)
7.
What was your total income before taxes during the past 12 months? [Optional]
Less than $25,000
$25,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 or more
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8.
What stage is your business in?
(Required.)
Pre-Startup (No sales)
Startup (Sold goods/services for less than 1 year)
Operating (Sales for 1+ years)
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9.
Business Name
(Required.)
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10.
Business Address – Street, City (Please use your home address if your business has not launched)
(Required.)
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11.
Business Borough
(Required.)
Bronx
Brooklyn
Manhattan
Queens
Staten Island
Other (please specify)
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12.
Zip Code
(Required.)
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13.
What was your revenue last year?
(Required.)
<$50,000
$50,000-100,000
$100,000-$500,000
>$500,000
Unknown
0
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14.
# of Employees
(Required.)
15.
Business Website
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16.
What industry is your business in?
(Required.)
Accommodation and Food Services
Administrative and Support and Waste Management and Remediation Services
Agriculture, Forestry, Fishing and Hunting
Arts, Entertainment, and Recreation
Construction
Educational Services
Finance and Insurance
Health Care and Social Assistance
Information
Management of Companies and Enterprises
Manufacturing
Mining, Quarrying, and Oil and Gas Extraction
Other Services (except Public Administration)
Professional, Scientific, and Technical Services
Public Administration
Real Estate and Rental and Leasing
Retail Trade
Transportation and Warehousing
Utilities
Wholesale Trade
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17.
What is your most immediate business concern? (Select all that apply)
(Required.)
Certifying as a minority/women-owned business
Understanding government rules/requirements and applying for permits or licenses
Getting financing
Grow sales/revenue
Legal issues
Managing finances
Marketing and social media
Recruiting employees
Selling to government
Training employees
Other (please specify)
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18.
Briefly describe your business. (Minimum of 50 words)
(Required.)
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19.
How do you think FastTrac will help you grow your business? (Minimum of 50 words)
(Required.)
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20.
How did you learn about FastTrac? (Select all that apply.)
(Required.)
NYC Business Solutions Center
nyc.gov/fasttrac
NYC Department of Small Business Services (SBS)
Business Improvement District (BID)
New York City Housing Authority (NYCHA)
FastTrac email
Friend or colleague
Another FastTrac participant
Link NYC
Social media
Public library
FastTrac marketing material
BlackWomenTalkTech
Online ads
Other (please specify)
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21.
Where do you get your news from? Please be as specific as possible for each relevant category (names of shows, stations, websites, etc.):
(Required.)
Social Media (Facebook, Twitter, LinkedIn, etc.)
Print (newspaper, magazine, etc.)
Television
Radio
Internet (Google news, publication website, etc.)
People (family, friends, co-workers, etc.)
Professional Association
Non-Profit/Community-Based Organization
Additional Comments
22.
What is your gender? [Optional]
Male
Female
Other
23.
What is your race or ethnicity? (Select all that apply.) [Optional]
American Indian
Asian/Pacific Islander
Black or African American
Hispanic
White/Caucasian
Other
24.
What is your age? [Optional]
18-24
25-34
35-44
45-54
55-64
65 or older
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25.
What is your employment status? (Select all that apply.)
(Required.)
I run my own business
I am employed full-time
I am an aspiring entrepreneur
I am employed part-time
I am not employed but am looking for work
I am retired
I am a student
I am not employed and am not looking for work
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26.
Have you served at last one day in the active U.S. military, naval, or air service, including the Reserves and National Guard?
(Required.)
Yes
No
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27.
Is your business:
(Required.)
Yes
No
Unknown
Minority-owned
Yes
No
Unknown
Woman-owned
Yes
No
Unknown
Veteran-owned
Yes
No
Unknown
Service-disabled veteran-owned
Yes
No
Unknown
Worker-owned
Yes
No
Unknown
Current Progress,
0 of 27 answered
