2022 Queens StartUP Competition Intake Form
Thank you for your interest in the 16th Queens StartUP Competition. As our programs are free, we are required by our funders to collect demographic information in order to better serve our community. Please fill this out to the best of your ability. We will not contact you without your permission.
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Email *
Your Name *
Phone number
Address
Do you or one of your team members live in Queens? *
Gender
Age
Race
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Ethnicity
Are you a veteran?
What is the highest level of education you have received?
What is your employment status?
what is your business type? *
Your business name
How would you define your current business readiness?
When did your business start?
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/
DD
/
YYYY
Please share your website/Social media/LinkedIn or any business online presence?
What is one thing you'd like to get from the Queens StartUP! Program?
Learning, network/relationships, cash award, mentorship, etc
How did you hear about Queens Startup? *
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