Application

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Business Address






Mailing Address













Are you any of the following (check all that apply)?

Demographic Information

Hispanic

Business Owner: Disabled or Handicapped?

Financial Information

Total Revenues/Sales




Projected Revenues/Sales


Annual Profit (Loss)




Annual Profit (Loss) Projection


Do you currently have a positive cash flow?

Total # EOY Employees:




















Do you have a strategic plan?

If yes, when last updated:



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I prefer the following time for participation in the Entrepreneurial Training
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