TEC Program Intake Application

TEC Program Intake Application
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Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I consent to receive messages from the Urban League.
Email
example@example.com
What languages do you speak?

Other
What type of business do you have or plan on starting?

Other
Have you ever started a business before?
Reason for starting business?

Other
What program are you interested in?
What type of business do you want to start?

Other
What type of product or service will you be offering?
What type of business do you have

Other
What year was your business established?
What is the legal form of your business

Other
Where does your business operate from

Other
You have a usable business plan?

Other
What are your plans for funding your business?

Other
Do you have a business license?
Is your business registered with Secretary of State?
Do you have a tax ID number for your business?
You have a business bank account?
What challenges are you facing?

Other
Additional comments
Should be Empty: