NOTE: The date has not been set but we expect the Cohort to start late Summer/early Fall of 2024
Back
Next
Save and Continue Later
Section 1: About the business owner.
Please answer the following questions about the Business Owner.
Name
*
Prefix
First Name
Last Name
Suffix
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Ethnicity
*
White
Asian
American Indian
Black or African American
Middle Eastern or North African
Hispanic Latino or Spanish origin
Native Hawaiian or Other Pacific Islander
Other
Age
*
0 - 17
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 or older
Which Gender do you identify as?
*
Please Select
Female
Male
GNC
Other
Prefer Not to Answer
Are you employed full time at a job other than this business?
*
Please Select
Yes
No
Are you an employee of your own business? (Do you pay yourself as a W9 employee?)
*
Please Select
Yes
No
How many businesses do you own?
*
About the business.
Please complete the following information for your primary business only.
What is your business name?
*
Give us a general idea of what your business does?
*
OPTIONAL Please select your business or professional activity code (NAICS)? (Not sure? Click link to read more about the NAICS codes)
Please Select
11. Agriculture, Forestry, Fishing and Hunting
21 Mining, Quarrying, and Oil and Gas Extraction
22 Utilities
23 Construction
31-33 Manufacturing
42 Wholesale Trade
44-45 Retail Trade
48-49 Transportation and Warehousing
51 Information
52 Finance and Insurance
53 Real Estate and Rental and Leasing
54 Professional, Scientific, and Technical Services
55 Management of Companies and Enterprises
56 Administrative and Support and Waste Management and Remediation Services
61 Educational Services
62 Health Care and Social Assistance
71 Arts, Entertainment, and Recreation
72 Accommodation and Food Services
81 Other Services (except Public Administration)
92 Public Administration
https://www.naics.com/search/
How is your business legally structured?
*
Please Select
Sole proprietorship
Partnership
Corporation (S-Corp, C-Corp, B-Corp)
LLC
Non-profit
How would you describe your business?
*
Please Select
Start-Up
Pre-Profit
Profitable and Growing
Stable
Established but in Decline
How long has your business been in operation?
*
(number of years)
Does your business own or rent its space?
*
Rent
Own
N/A (e.g: Co-work, Home based businesses)
How many people, including owners does your business employ full time?
*
(Including contract workers and independent contractors)
How many people, including owners does your business employ part time?
*
(Including contract workers and independent contractors)
How many people, including owners does your business employ seasonally?
*
(Including contract workers and independent contractors)
Do you plan to hire additional employees within the next year?
*
Please Select
Yes
No
Maybe
What is the average annual revenue or sales for your business?
What percentage of your employees live in Montgomery County, AL?
*
Do not include the percent sign
What percentage of your employees work virtually?
*
Do not include percent sign
Back
Next
Save and Continue Later
Please share challenges in business that you have encountered/experienced.
Have you ever applied for loans or capital for your business?
*
Yes
No
What types of business funding have you pursued? (Select all that apply)
*
Investors
Grant competitions
Banking institutions
CDFI'S
Payday Lenders
Online Lenders
None
What if any challenges have you faced when attempting to access capital?
Back
Next
Save and Continue Later
Please select all small business networking events you have attended in the past 24 months.
*
60 Minute Coffee
Montgomery Chamber of Commerce Business After Hours
Network N’ Chill
Strong Women Strong Coffee
The Gathering Events
The Lab Minority Business Meet-Up and Mixer
Others (please share below)
None
Please share any other networking events you've attended.
Please select the extent to which you agree or disagree with the following statements.
My community values small businesses.
*
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
Small businesses are necessary to the economic growth of the community.
*
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
Small businesses in Montgomery have access to support to succeed.
*
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
Do you have any thoughts you'd like to share about your experience setting up a small business in Montgomery?
Back
Next
Save and Continue Later
Is there anything else you would like us to know about your business or any other general feedback?
Please share your social media handles.
Save and Continue Later
Submit
Should be Empty: