ZWHJCOC SMALL bUSINESS tECHNICAL aSSISTANCE pROGRAM

I am registering for:

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Email Address

Business Name

Current Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Business Website Address

http://

Choose one: Are you an existing business or a startup business?

FOR STARTUP BUSINESS ONLY: Does your startup business have a Texas EIN# or Business Entity Designation?

FOR STARTUP BUSINESS ONLY: How many hours are you available to dedicate to starting a business?

Does your business sell a product or a service?

Product

Service

What kind of products or services does your business sell?

How long has the business been in existence?

What is your business monthly gross Income?

Does your business own any Assets? If so, name the business Assets?

Approximately how many clients or products do you sell on a monthly?

How do you market your services or product?

What are your business goals for 2024?

Do you plan on doing anything differently this year than what you have done previously? If so, what?

In the last 5 years what kind of community involvement activities have you participated in?

If given the opportunity to make a difference in a low-income community, what would you do to change the community to a thriving healthy community?

Describe your willingness to contribute to underprivileged communities?

How do you think this program can help you?

Are you able to commit to working 6 months without any distractions and is your business financially stable to complete a 6-month business program without being funded by Zan Wesley Holmes Jr Community Outreach Center?

Yes