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1) What phase is your business in?

2) What is the problem you are trying to solve? How are you solving it or planning to solve it with your enterprise?

3) Complete the following statements:

My revenue is currently                       

I currently employ  

I am looking to learn

I want to meet a new mentor/coach that can talk to me about

I have raised 

 and my goal is

within 1 year.

and my goal is to employ

full-time within 1 year.

.

.

and I aim to raise

in 1 year (debt/equity).

4) How do you define grit?

5) What is your current pain point or what are you hoping to gain from this experience?

6) Where, if anywhere, have you gone for previous business support?

7) What is industry does your business or idea fit into?

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8) Do you identify with any of the following? (Select all that apply.)

African-American/Black

European American/White

Native American

Asian American

Person experiencing homelessness

Immigrant

If so, what country?

Returning Citizen

Pacific Islander

Latin-American/Latinx/Hispanic

Veteran

LGBTQ+

Religious Minority

If so, feel free to disclose:

A person with disabilities

If so, would you like to request
reasonable accomodations?

9) Have you been referred by a Street Entrepreneurs partner, if so please list:

street entrepreneur

Impact

Upcoming workshops

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