Business Registration Form

Sign-Up For One of Our Ecosystem Programs
Business Name*
Business Owner*

First NameLast Name
Title*
Business Website
E-mail*
example@example.com
Cell Phone*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years In Business*
Industry*
Business Income

Under $50,000$50,000 - $99,000$100,000 - $249,000$250,000 - $499,000$500,000 - $999,000$1,000,000 - $5,000,000$10,000,000+
Primary Customer Base/Service Area . Click All that Apply

LA CityLA CountyImperial CountyOrange CountyRiverside CountySan Bernardino CountySan Diego CountySanta Barbara CountyVentura County
Business Certification (click all that apply)

MBEWBE8AVeteran/Diabled Owned BusinessLGBTQNot CertifiedOther
Gender*

MaleFemaleOther
Ethnicity*

AsianBlack or African AmericanHispanic or LatinoNative AmericanWhiteAsian Pacific IslanderOther
Select Program(s)*

Bridges to Business: Provides technical assistance and awareness of the various Los Angeles County business resources, providers, and support services available. Class Begins May 2024The Capacity Accelerator: Provides entrepreneurs with a foundational understanding of business as well as an in-depth education in contracting to build and grow their business offering access to both self-paced education and live coaching for an entire year. Class Begins March 28th, 2024Certified Business Enterprise Supplier Training (CBEST): CBEST is a live four-month educational program aimed at expanding business capacity for contracting. Businesses are educated by USC professors as well as business experts and receive live coaching and support. Class Begins Spring 2025Next Level Supplier: CEO Development Program is designed to train mature business owners to fully transition to the role of CEO and navigate business maturity. This is a four-month program, offered through USC Marshall Executive Education Department. Class Begins Fall 2025.Capital Readiness Training: Each month, ecosystem entrepreneurs will have an opportunity to participate in this four-step process to apply for capital and take advantage of SSBCI loans. Coming Soon.
Business Structure

Sole PropriertorPartnershipLLCS-CorporationC-CorporationNon-ProfitNone of The Above
Do You Have Any Contracting Experience?

YesNo
Business Classification*

ConstructionEntertainmentFood ServicesHealth CareProductsProfessional ServicesReal EstateRetailTechnologyTruckingOther
Number of Employees*

None1-45-910-2425-4950-99Other
Existing Business Needs (click all that apply)

Board MembersCapitalContract Readiness AssistanceCustomersEmployees/Team MembersFinancialsInsuranceInvestorsMarketingBusiness ConsultingBusiness CreditTechnical AssistanceOther
Should be Empty:

Sign-Up For One of Our Ecosystem Programs