Impacto Latino Business Survey (Pre-Program)
Registration does not guarantee acceptance into the Impacto Latino Business Program. We will contact you regarding your eligibility two weeks before the start of the program.
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Name *
Email *
Phone Number *
Business Location (What City?)
*
Name of Business
*
Type of Business (What industry does your business fall under, please include all that apply)
*
Website
Number of Employees (Including yourself)
*
Number of Years in Business
*
What is Your Annual Revenue?
*
Is Your Business SWaM Certified?
*
Are there any specific business topics you are interested in? (Examples: Strategic Business Plan, Financial Literacy, Effective Marketing Strategies, Operational Efficiency, SWaM Certification) 
*
What goals or aspirations do you have for your business?
*
Are you able to commit to the six sessions on Monday's from 12PM - 1PM on Zoom?  *
Required
There will be a total of 6 virtual sessions, each session lasting 1 hour. By joining the Impacto Empresarial program you are committing to participate in every session, outside of any unanticipated emergencies. In the event you cannot participate in a session you will need to notify the program director immediately at the earliest opportunity.
*
Required
Questions or Comments?
*
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