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Is Your Business Bankable? MyBusiness Growth Workshop
CWBC Workshop: Registration
This is a short demographics survey and registration form for the Is Your Business Bankable workshop! Thank you for your assistance.
1.
Please provide the following information:
First Name:
Last Name:
Street Address:
City:
State:
Zip:
Phone:
Email Address:
2.
What are you hoping to learn from this workshop?
*
3.
Have you started a business?
(Required.)
No, I have not yet started a business
Yes, I have started a business
*
4.
Please indicate your gender:
(Required.)
Male
Female
Other/Do Not Wish to Answer
*
5.
Please indicate the race/ethnicity you most identify with:
(Required.)
Asian
Black/African American
Native Americans or Alaskan Natives
Native Hawaiians or other Pacific Islanders
White/Caucasian (Not of Hispanic Origin)
Hispanic Origin
*
6.
Military Service/Veteran Status:
(Required.)
Veteran
Service-Disabled Veteran
Member of Reserve or National Guard
None/Does Not Apply
*
7.
Do you consider yourself a person with a disability?
(Required.)
Yes
No