2019 OESBD Kauffman FastTrac® NewVenture™ Application

* indicates a mandatory field.

Thank you for your interest in Broward County's FastTrac NewVenture Entrepreneur Development Program. FastTrac NewVenture is for Broward County aspiring entrepreneurs ONLY.

Note: You will not be able to save the application. You may want to save responses to free form questions in a separate document before submitting the application. Please read the entire application before filling it out.

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* 1. First Name:

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* 2. Last Name:

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* 3. Company Name:

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* 4. Title:

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* 5. Address:

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* 6. Address 2:

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* 7. City:

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* 8. State:

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* 9. Zip (plus-4-code optional):

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* 10. E-mail:

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* 11. Phone Number (extension optional)

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* 12. Web URL:

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* 13. Are you currently selling products or services?

Yes

If yes, please explain.

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* 14. What is your current business stage?

Developing a business idea

Launching a business

Running your business

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* 15. Do you have active military status?

Yes

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* 16. Do you have Veteran Status?

Yes

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* 17. How many years of experience do you have in the field in which you plan to start your own business?

None

Less than 1

1 to 2

3 to 5

over 5

Please explain your experience (Min 50 characters)*

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* 18. What is your business idea? Describe the type and range of products and/or services you plan to offer? (Min. 50 characters)

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* 19. What type of business are you thinking of starting?

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* 20. Who is your target market and what research have you conducted to determine that your customers will purchase your products and/or services? Please outline any steps you have taken to prove the need or opportunity in the market for your products and/or services. (Min 50 characters)*

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* 21. Describe any steps that you have taken towards launch. (Min 50 characters)*

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* 22. What have you learned from your past work experience and how will it influence your start-up? (Min 50 characters)*

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* 23. How do you think FastTrac New Venture will help you strengthen your business idea and launch your start-up? Please provide concrete examples. (Min 50 characters)*

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* 24. Do you have 2 years of prior work experience in the Industry in which you want to start your business?*

Yes

Please tell us about this experience (be specific and min. 50 characters)*

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* 25. What business sector did you most recently work in?

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* 26. Do you have access to a computer to complete all course assignments?*

Yes

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* 27. Are you available to attend all sessions (10, 3-hour evening sessions) and complete all necessary prep work (approximately 15 to 20 hours per week)?*

Yes

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* 28. Have you participated in any other Business Plan development course in the last 5 years?

Yes

If yes, name the program:

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* 29. Who referred you to FastTrac New Venture?*

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* 30. I confirm that the above information is accurate.*

Yes

Please make sure your information is complete and accurate. After clicking submit, you can no longer make any changes to your application.