Course Registration Form

Entrepreneurship and Economic Development During COVID-19

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Gender
Student E-mail*
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you currently own or have a business idea?*

YesNo
Has your employment been impacted by COVID-19?*

YesNo
If yes, please explain
Class participants should select one date for Level 1 and one date for Level 2. Each session is from 10:00 am to 12:30 pm CTS.
Select a date for Level 1*

October 10, 2020 (Saturday)
Select a date for Level 2*

October 17, 2020 (Saturday)
Do you have a computer with microphone, video camera, and speakers? Minimum requirements for this class is computer with speakers.*

YesNo
For questions or problems with registration email Kranulett@theRaeda.com
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Entrepreneurship and Economic Development During COVID-19