UBRC Emerging Entrepreneurs Enrollment Form  
UBRC Emerging Entrepreneurs Enrollment Form- Thank you for your interest in this course! We are currently accepting applications for Cohort 6!
Email *
First and Last Name *
Name of Business *
Work Phone Number (please include area code)
Cell Phone Number (please include area code) *
What year did you start your business? How long have you been in business? *
Website if applicable
How did you start your business? *
What kind of goods or services do you provide? *
Do you have premises? *
If you do not have premises, how do you operate your business? *
Do you have enough cash on hand to cover current business expenses? *
Have you received a loan for your business? What did you use the funds for? *
Have you tried to access other types of financing, such as friends and family, asset refinancing, personal savings, crowdsourcing, angel, venture capital, private equity, grants, other? *
Who is your target audience? *
What are your current biggest challenges in growing or creating your business? *
Define your ideal client/customer. *
What do you envision for the future of your business? *
What are your business goals for the next 1-2 years? Select all that apply *
Required
Where did you learn about this course? *
If you said 'Other' in response to the previous question, please explain. If you were referred by another UBRC participant, please tell us that person's name.  *
The County of San Diego Black Chamber of Commerce has my permission to use my
photograph publicly to promote the CSDBCC. I understand that my picture may be used in
print publications, online publications, presentations, websites, and social media.

I also understand that no royalty, fee, or other compensation will be paid to me as a result of
such a use.
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