Startups On The Blocks Registration
We appreciate your interest Kukua Institute's new program! Please take a moment to answer the following questions and fields below. Your participation helps the Kukua Institute provide more resources that serve you and our community. Your information will only be used to keep you updated on any Startups on the Blocks & Kukua Institute events and will not be shared with any other organizations or shared publically. Thank you in advance.
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Email *
Name (order: Prefix, First Name, Middle Initial, Last Name, Suffix) *
Phone Number *
Email *
Mailing Address (optional)
Do you have an idea or concept for a new product or service? *
 Do you have a start up business already? What is your business' name? *
Have you participated in a Pitch Competition before? If so, which ones? *
Are you familiar with the Lean Startup Method? *
Have you created a lean canvas business model?   *
There are resources available for so many people seeking equity in business. If you can please share as you feel comfortable. This information is not shared publically or with any other 3rd party.
If you identify as a Person of Color, please specify:
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