FastTrac TechVenture Application Question Title * 1. Which course are you registering for? General Application- Winter 2021 General Application- Spring 2021 OK Question Title * 2. First Name OK Question Title * 3. Last Name OK Question Title * 4. Email Address OK Question Title * 5. Phone Number OK Question Title * 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) OK Question Title * 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 OK Question Title * 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) OK Question Title * 9. Business Name (If Applicable) OK Question Title * 10. Business Address – Street, City (Please use your home address if your business has not launched) OK Question Title * 11. Business Borough Bronx Brooklyn Manhattan Queens Staten Island Other (please specify) OK Question Title * 12. Zip Code OK Question Title * 13. Business Website OK Question Title * 14. What industry do you plan for your business to be 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 OK Question Title * 15. What is your most immediate business concern? (Select all that apply) Identify my business idea Research customers Test my product/service Research competitors Develop a financial plan Develop a business plan Access financing Secure permits/licenses to operate Launch my business Register my business Other (please specify) OK Question Title * 16. Briefly describe your business idea. (Minimum of 50 words) OK Question Title * 17. How do you think FastTrac will help you launch your business? (Minimum of 50 words) OK Question Title * 18. 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) OK Question Title * 19. 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 OK Question Title * 20. What is your gender? [Optional] Male Female Other OK Question Title * 21. What is your race or ethnicity? (Select all that apply.) [Optional] American Indian Asian/Pacific Islander Black or African American Hispanic White/Caucasian Other OK Question Title * 22. What is your age? [Optional] 18-24 25-34 35-44 45-54 55-64 65 or older OK Question Title * 23. 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 OK Question Title * 24. Have you served at last one day in the active U.S. military, naval, or air service, including the Reserves and National Guard? Yes No OK Question Title * 25. Will your business be: 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-owned Worker-owned Yes Worker-owned No Worker-owned Unknown OK DONE