Entrepreneur Interest Form
Sign up below to get started with Youth Business USA (YBUSA). We work with committed, dedicated entrepreneurs between the ages of 18 and 29 years old.

If you're looking to launch a new business idea, fund your business, or grow your existing business - then we're here for you. Our program gives you free access to our:
1. business coaching in YBUSA's "Pathway to Business Ownership" to help you build your company
2. interest-free loans up to $10,000 for business expenses
3. experienced mentors and advisors to guide and support you
4. network of new customers, business opportunities and events to showcase your business.

Please check your email for next steps with Youth Business USA after you submit this form.

Interviews with our Director take place at our offices at Impact Hub Oakland (2323 Broadway Ave. Oakland, CA 94612).

Contact Bo with any questions at bo@ybusa.org or 510-379-8952
Sign in to Google to save your progress. Learn more
Full Name *
City *
State *
Phone Number *
Email Address *
Please make sure that you enter your email address correctly so that we can get in contact with you, thanks!
Date of Birth *
MM
/
DD
/
YYYY
How can we help you? Please select all that apply. *
Required
If you wish to be identified as a member of any of the following groups, please select:
Estimated personal income over the past 12 months: *
Do you have a smart phone, tablet or computer for our online training? *
How did you hear about Youth Business USA? *
Name of person or organization who referred you:
Does your business have a name? If so, write it below.
If you haven't named your business yet, just leave this blank!
Has your business had paying customers (even if it's just a few) in the last 6 months? *
Are you selling your products or services to people yet?
Does your business have a website?
If so, paste/write your website address below. If not, just leave this blank!
Please check your email for information on the next steps to get support for your business!

Contact Bo at bo@ybusa.org or 510-379-8952 if you have any questions, thanks!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy