Caldera Form Company Name * Email Address * Phone Number * List your complete address * (Address, city, state, ZIP code) The selection process includes an interview to be scheduled in late December or early January. Daytime and evening appointments are available. Will you be available for this interview? * Yes, I will be available No, I will not be available Applicants must attend 10 weeks (once weekly) of a small business course. This is provided free of charge to all LaunchWENDELL participants and is required to qualify for possible funding. If selected, are you able to attend 100% of these classes? * Yes, I will be available No, I will not be available Summarize your business or idea: * Are you already in business or plan to start a business? * Already in Business Plan to Start a Business What is the name of your business? * How long have you been in business? * Just getting started Less than 1 year 1-2 years 2-5 years 6-10 years 10+ years Where is your business? * Website Address (if available) Business Facebook Page (if available) If you have an existing business, what significant challenge are you experiencing that you’re hoping to improve through this program? * What else would you like us to know about your business? How did you hear about LaunchWENDELL? * Is your household income below $60,000 per year? Marking * Yes No
