Core Four Business Planning Program Registration Form

First Name

Last Name

Email Address

Phone Number

Home Address , City, State, Zip

Have you ever operated a business before? Have you ever operated a business before?yesnot yet

Are you currently operating a business? Are you currently operating a business?yesno

If yes, what is the name of your business?

Date you started your business

Business Address , City, State, Zip

Number of part-time employees

Number of full-time employees

Total sales for last year? $

What is your business planning goal? What is your business planning goal?Business Idea - I need a business planBusiness Startup - I've already started planningBusiness Stabilization - I need a new business planBusiness Strengthening - I have a business plan I would like to work onBusiness Growth - I need to develop a plan or growthBusiness Expansion - I have a plan I would like to work onNot sure yet

Please describe your current business or business idea

Do you need help finding a location?

If so, what square footage will you require?

Does your business need financing? Does your business need financing?yesnonot sure

What are your short term goals (1 year)?

What are your long term goals (5 year)?

What are your expectations of this workshop?

How did you hear about this workshop?