Parachute Application

Business Intake Form

Please read each question thoroughly and don't leave any blank. This 4-week business development training class is designed to embrace entrepreneurship by providing the foundation necessary to equip business owners for a successful start-up. This class is geared for beginning phase and start-up entrepreneurs. These businesses will have made less than 25K. This class is aimed towards delivering educational concepts that impact your knowledge of business acumen and generate a strategic plan for business sustainability. Once your application is submitted, we will notify you via email/phone about your acceptance into the cohort. The cost for this course is $40 and once accepted a payment link will be provided for you.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Zip Code?*
What is the name of your business?*
Has your business started?

YesNo
How long have you been in business?*

1-2 years3-5 years6 years or more
Is your business a Non-profit or For-profit?*
What is your annual revenue with your business?*

Less than $1,000$1,001-$5,000$5,001-$10,000$10,000-$15,000$15,001-$20,000$20,001- $24,999
What is your business industry?*

ConstructionProfessional Services (Law, HR)HealthcareFood ServicesAutomotiveLawncare/LandscapingCosmetologyRetailFitnessJanitorial/Janitorial SuppliesMarketingOther
Will you or do you sell B2B or B2C?*

B2BB2C
Are you certified (check all that apply)*

State CertifiedCity CertifiedMid-States CertificationWBENCNo Certification
Is this your first business?*

YesNo
Do you have a marketing strategy?*

YesNo
What social media sites do you currently use?*

FacebookInstagramTikTokLinkedInTwitter
Please provide your social media handles.*
Do you have any previous business ownership experience? What were your highlights and what were your struggles?*
Your age?*

18-2021-2930-3940-4950-5960 or older
How do you identify?*

American Indian or Alaskan NativeAsian or Asian AmericanBlack or African AmericanHispanic or LatinXMiddle Eastern or Northern AmericanWhiteOption not available
Gender*

MaleFemaleNon-binary
What is your highlest level of education?*

Less than High SchoolHigh School degree or equivalent (GED)Some college but no degreeAssociates degreeBachelors degreeMasters degreeGraduate Degree
What is your current employment status?*

Self Employed (less than 30 hours per week)Self Employed (more than 30 hours per week)Part-time employementFull-time employmentOther
What is your primary language?

EnglishSpanishFrenchGermanOther
Do you require accommodations for this course?*
Are you a member of the Indy Black Chamber of Commerce, Inc*

YesNo
What do you know about IBCC?*
What are your expectations from IBCC to benefit your business?*
How did you hear about this course?*
If other was selected, please tell us how you heard about the course.
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Business Intake Form