In Partnership With The Sherwood Area Chamber of Commerce

Sherwood/Kauffman Startup Entrepreneur Training Program

From Ideate To Launch

Winter 2023

ENROLLMENT APPLICATION FORM

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Primary Phone Number:
Work Phone Number:
Cell Phone:
Email Address:
DETAILS
Gender:
Race:
Hispanic Ethnicity:
Veterans Status:
Military Reserve Status:
Describe Any Disability:
Describe Any Special Needs:
Where Did You Hear About This Program?
BUSINESS STATUS
In order to better assist you, it is important that we know your current business status. If you are generating revenues and you have filed all the necessary business licenses and permits, then enter your business type in the box. If you are still looking to register your company and need assistance with developing your business idea, writing a business plan, obtaining funding for your new venture, determining the best legal structure or you have other questions on how to start your business, then please enter NONE.
Type of business: (please enter NONE if you are not currently in business.)
YOUR CURRENT OR PROPOSED BUSINESS INFORMATION
Business Name (if any):
Your position or title with the business:
Business Address:
City:
State:
Zip:
Is your mailing address the same as your physical address?
Current or Proposed Product or Services Description:
REASON FOR ATTENDING:
What are your business goals?
Describe what you hope to learn by attending the Sherwood/Kauffman Enterpreneur Training Program?