Youth Entrepreneurship Workshop Intake Form

Youth Entrepreneurship Workshop Intake Form
Personal Information:
Full Name*

First NameLast Name
Age
Grade
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
Parent/Guardian Info (If applicable):
Full Name*

First NameLast Name
Phone Number*
E-mail
example@example.com
Background Information
School (If Applicable)
How did you hear about this workshop?*
Please Specify*
Interest in Business Formation, Digital, and Planning Services
Are you interested in participating in teen business formation opportunities?

YesNo
Business Idea
Do you have a business idea in mind?

YesNo
If yes, please describe your business idea
Current Business Status
Have you started any business initiatives (even in a small or informal way)?

YesNo
If yes, please provide the following details:
What type of business are you currently running? (e.g., selling candles)
What is the name of your business?
How long have you been operating?
What products or services are you selling?
How are you marketing your business? (e.g., social media, local markets, word of mouth)
Have you set up any legal foundations for your business (e.g., registered the business, obtained necessary licenses)?

YesNo
If no, what challenges are you facing in establishing the legal foundation?
Workshop Goals
What do you hope to learn or gain from this workshop?
Agreement & Permissions
Parent/Guardian Consent

I give consent for my child to participate in this workshop.I consent to my child being photographed or recorded for workshop purposes.
Digital Signatures
Student Signature

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Parent/Guardian Signature

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Date

MonthDayYear
Date
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