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Entrepreneurs academy master plan class registration
Master plan class registration
Name
First Name
Last Name
Phone
Email
(Required)
Address
(Required)
Race
(Required)
American Indian or Alaskan Native.
Asian / Pacific Islander.
Black or African American.
White
Other
Gender
(Required)
Female
Male
Transgender
Non-binary/non-conforming
Prefer not to answer
DOB
(Required)
MM slash DD slash YYYY
Are you a veteran
(Required)
Yes
No
Ethnicity
(Required)
Hispanic
Non-Hispanic
Are you a reentry citizen
(Required)
Yes
No
Prefer not to answer
Do you identify as a member of the LGBTQ+ community
(Required)
Yes
No
Prefer not to answer
Do you currently have a business
(Required)
Yes
No
In beginning stages
What topic would you like to see in future workshops
Select the date that works best for you for the upcoming class
June 17th - Access to Capital and Credit