Class Application
Please fill out the following form to be considered for the Biz Owners Ed annual 10-week program
Name *
Print Name Tag As *
Birthday *
MM
/
DD
/
YYYY
Company Name *
Mailing Address *
City *
State *
Zip *
Email *
Website
Mobile Phone *
Office Phone *
List any food allergies or special dietary needs *
What percentage of your business do you own? *
How long have you been in business? *
Hours you work per week *
Number of employees *
Number of senior staff *
Days spent traveling for work per week *
Were you profitable last year? *
Annual sales revenue *
How did you hear about Biz Owners Ed? *
Do you belong to any entrepreneurial groups or organizations? (Please list) *
Please describe your business *
What are your key differentiators? What is innovative about what you are doing? *
Comments. (What are you most interested in?)
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