FastTrac GrowthVenture Application Survey

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* 1. Which course are you registering for?

General Application - Winter 2021

General Application - Spring 2021

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* 2. First Name

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* 3. Last Name

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* 4. Email Address

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* 5. Phone Number

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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)

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)

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* 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?

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

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* 10. Business Address – Street, City (Please use your home address if your business has not launched)

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* 11. Business Borough

Bronx

Brooklyn

Manhattan

Queens

Staten Island

Other (please specify)

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* 12. Zip Code

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* 13. What was your revenue last year?

<$50,000

$50,000-100,000

$100,000-$500,000

>$500,000

Unknown

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* 14. # of Employees

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* 15. Business Website

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* 16. What industry is your business in?

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)

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)

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* 19. How do you think FastTrac will help you grow your business? (Minimum of 50 words)

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* 20. How did you learn about FastTrac? (Select all that apply.)

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.):

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

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* 22. What is your gender? [Optional]

Male

Female

Other

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* 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

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* 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.)

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?

Yes

	Yes	No	Unknown
Minority-owned	Minority-owned Yes	Minority-owned No	Minority-owned Unknown
Woman-owned	Woman-owned Yes	Woman-owned No	Woman-owned Unknown
Veteran-owned	Veteran-owned Yes	Veteran-owned No	Veteran-owned Unknown
Service-disabled veteran-owned	Service-disabled veteran-owned Yes	Service-disabled veteran-owned No	Service-disabled veteran-owned Unknown
Worker Cooperative-owned	Worker Cooperative-owned Yes	Worker Cooperative-owned No	Worker Cooperative-owned Unknown

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* 1. Which course are you registering for?

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* 2. First Name

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* 3. Last Name

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* 4. Email Address

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* 5. Phone Number

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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)

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* 7. What was your total income before taxes during the past 12 months? [Optional]

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* 8. What stage is your business in?

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* 9. Business Name

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* 10. Business Address – Street, City (Please use your home address if your business has not launched)

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* 11. Business Borough

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* 12. Zip Code

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* 13. What was your revenue last year?

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* 14. # of Employees

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* 15. Business Website

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* 16. What industry is your business in?

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* 17. What is your most immediate business concern? (Select all that apply)

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* 18. Briefly describe your business. (Minimum of 50 words)

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* 19. How do you think FastTrac will help you grow your business? (Minimum of 50 words)

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* 20. How did you learn about FastTrac? (Select all that apply.)

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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.):

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* 22. What is your gender? [Optional]

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* 23. What is your race or ethnicity? (Select all that apply.) [Optional]

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* 24. What is your age? [Optional]

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* 25. What is your employment status? (Select all that apply.)

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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?

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* 27. Is your business: