Launch Wayne Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Though income and family size will not be used to determine participant eligibility, we strive for the LAUNCHprogram to have social equity for the community. What is your family size?
What is your household family income?
While some entrepreneurs may become successful financially without a solid understanding of personalfinances, having sound financial knowledge is critical to increasing your chances of success, and moreimportantly, remaining successful. Do you agree to have private financial counseling if accepted into theprogram?
Yes
No
LAUNCH participants will be required to register as a Counseling Client of the Small Business Center (SBC)at Wayne Community College. SBC counseling service are not limited to LAUNCH participants but if chosento participate you must agree to counseling. Counseling is confidential however there may be times wheninformation needs to be shared with associates of the LAUNCH program. If chosen, do you agree to becoming a Counseling Client, attended counseling sessions as needed, and signing an information releaseform to share information with LAUNCH?
Yes
No
The selection process includes a panel interview and will be scheduled prior to the start of our next program. Daytime and evening appointments are available. Will you be available for this interview?
Yes
No
Applicants must attend meetings. Meetings will include a series of 10 Small Business Center seminarsoffered at Wayne Community College and 5 group mentoring sessions. Each seminar and group mentoringsession is 2-3 hours long and will be held on Tuesday and Thursday evenings. Please check your calendar.To be eligible for possible funding LAUNCH participants must attend a minimum of 8 seminars and all groupmentoring sessions. If selected, are you able to attend a minimum of 8 seminars?
Yes
No
If selected, will you be able to attend all mentoring sessions?
Yes
No
At the end of each seminar, LAUNCH participants will be given an assignment to complete. It is theresponsibility of the LAUNCH participant to contact the coordinator for the assignment in the event of anabsence. If selected, do you agree to complete all assignments by the assigned due dates?
Yes
No
At the end of each seminar, LAUNCH participants will be given an assignment to complete. It is theresponsibility of the LAUNCH participant to contact the coordinator for the assignment in the event of anabsence. If selected, do you agree to complete all assignments by the assigned due dates?
Yes
No
Summarize your business or idea:
What is the name of your business?
How long have you been in business?
Where is your business located?
How would you describe your ideal customer?
How many employees do you currently have?
How many employees do you anticipate in 12 months?
If you have an existing business, what significant challenge are you experiencing that you’re hoping toimprove through this program?
What else would you like us to know about your business?
Submit
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