COVID 19- Courageous Outcomes for Vigilant Independent Determined Leaders Program
Please complete the form below for more information on our program
Email address *
Name *
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Name of Business or Organization *
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State your business or organization is located *
Your answer
Your answer
How many employees *
Are you currently open for business during COVID 19? *
Employees status
Business Plan
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Any additional information you would like to provide
Your answer
A copy of your responses will be emailed to the address you provided.
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