* 1. First Name

* 2. Last Name

* 3. Street Address

* 4. Email

* 5. Skype

* 8. If yes, how many hours a week are you attending an education or a training program for?

* 11. If yes, how many hours a week are you employed for?

* 13. Why should you be selected as one of the participants for the program?

* 14. What is your business idea?

* 15. Business Name ( If applicable)

* 16. On a scale of 1 to 10, 10 being the highest, how would you rank your commitment and passion to build and launch your business with the program?

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i We adjusted the number you entered based on the slider’s scale.

* 19. How did you learn about the NEET Youth Incubator program?

* 20. LinkedIn Bio (If Applicable)

* 21. Website URL ( If applicable)

* 22. Business Twitter (If applicable)

* 23. Business Facebook Page (If applicable)

* 24. Business YouTube (If applicable)

* 25. Business Instagram (If applicable)

* 26. Permission to publish your name in connection with your business information.

* 27. Stay informed about what's happening at the Community Innovation Lab. We respect your privacy and never share contact information or mailing list with anyone- and we promise to keep our emails short and sweet!

* 28. Feedback and additional comments are welcome.

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