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Microenterprise Program | Schedule | Training Photos | Student Businesses | Microenterprise Course

Microsenterprise Training Registration Form

Full Name
Male/Female
Birthdate
Social security no.
Citizenship US LPR Other
Street #
City State Zip
E-Mail
Your Website
Day Phone
Evening Phone
Work phone
  What language do you speak?
  How many years did you attend elementary school?
  How many years did you attend high school?
  How many years did you attend college?
  What did you study in college?
  Do you have a college degree?
  Do you own a business? If so, what business do you own?
  Do you want to start a business? If so, please explain what business you hope to start:
  How many people in your household?
  What is your annual household income?
Click here to determine your fee.
What is your fee based on number of people in your household and annual household income?

I understand that the information contained on this application is complete and accurate to the best of my knowledge and that this application will be retained by the Microenterprise Training Program. I will be expected to provide the program with business and personal financial information for a period of three (3) years. Having carefullyread this application, I hereby authorize the release of any of this information with other
individuals, agencies and organizations for the purpose of securing funding, training and business financing.


Microenterprise Program | Schedule | Training Photos | Student Businesses | Microenterprise Course

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