BUSINESS COHORT REGISTRATION
PERSONAL INFORMATION SECTION
Date of Birth?
Street Address Line 2
State / Province
Postal / Zip Code
BUSINESS INFORMATION SECTION
Is your business?
Operating 1 - 5 years
5 or more years
Do you have an EIN Number ( Employee Identification Number) given by the IRS (Internal Revenue Service)
No, I don't need one
I plan to get one
What Industry are you interested in?
I.T. Information Technology
Accommodation and Food Services
Administration, Business Support and Waste Management Services
Agriculture, Forestry, Fishing and Hunting
Arts, Entertainment and Recreation
Finance and Insurance
Healthcare and Social Assistance
Other Services (except Public Administration)
Professional, Scientific and Technical Services
Real Estate and Rental and Leasing
Transportation and Warehousing
Advisory and Financial Services
Consumer Goods and Services
Industrial Machinery, Gas and Chemicals
Specialist Engineering, Infrastructure and Contractors
Do you have an business partner(s)
If yes, Business Partner Name
Time of your availability (Central Standard Time)
9am - 10am
12noon - 1pm
6pm - 7pm
7pm - 8pm Tuesday & Wednesday
Are you available?
1 day a week
1 once every two weeks
1 once a month
Upload a Recent picture?
What is your overall goal and need for your business ?
Upload Your Photo
Drag and drop files here
Choose a file
Do you have a business plan?
Do you have a marketing plan?
Do you have a website?
If yes, please provide domain (for example google.com, myshirt.com helpme.org...etc)
Do you have a company logo?
Do you have any questions and/or comments for us?
COMMUNICATION - I understand that all communication, including correspondence regarding the cohort costs, meeting time(s) and location(s), course drop deadlines, as well as payment information and receipts, will be conducted through the Western Tennessee A&M. I will check my email account regularly for correspondence from the School of Continuing Education. If you need assistance, please contact technical support at (901) 498-1342. Due to the hybrid nature of cohorts, where course length is varied in a given semester, punctuality is a necessity when enrolling, paying, or dropping a cohort course. ATTENDANCE- Attendance is mandatory for all courses in which the student is registered. Any exceptions must be approved by the instructor in advance unless it is an emergency that meets the guidelines of Western Tennessee A&My. Documentation may be required.
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