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WCGBC Workshop Application
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2
Personal Contact & Business Information
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3
Full Name
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First Name
Last Name
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4
Phone Number
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5
E-mail
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example@example.com
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6
Business Name
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7
Business Website
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8
LinkedIn Profile Link
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9
Do You have a Business License?
*
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YES
NO
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10
If YES, Upload Business License Here
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11
Business Start Date
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12
Business Structure
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Sole Proprietorship
Partnership
LLC
S Corporation
Nonprofit
NONE
Other
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13
Which of the following best describes your business?
*
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Brick & Mortar
Online Only
Hybrid (Both Physical & Digital Presence)
No Business
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14
Image Field
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15
Do you consider your business profitable?
*
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Yes
No
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16
What is your annual revenue range?
*
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Less than $10,000
$10,000 – $49,999
$50,000 – $99,999
$100,000 – $249,999
$250,000 – $499,999
$500,000+
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17
Number of Employees
*
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Just Me (Solo)
1–2
3–5
6–10
11–20
20+
No Business
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18
Are you currently a member of the West Central Georgia Black Chamber of Commerce?
Yes
No
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19
Do you own or rent your home?
*
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Own
Rent
Prefer Not to Say
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20
Do you have tax returns for any of the following? (Select one)
*
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6 years
5 years
4 years
Less than 4 years
None
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21
Have you taken any financial literacy or business planning classes before?
(If Yes, Please Describe)
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22
Image Field
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23
Which delivery method works best for you? (Required)
*
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On-site / In-person
Virtual / Remote Access
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24
Are you able to join the ORIENTATION on June 25th
YES
NO
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25
Which class are you looking forward to the most?
*
This field is required.
Insurance Choices for Business
The Record Keeping for a Small Business Module
The Managing Cash Flow Module
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26
What do you hope to gain from this Financial Wellness Class?
*
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27
Do you have any accessibility needs or schedule limitations we should be aware of?
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28
Which location are you looking to attend in person? Workshop repeats 3 times
*
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Carrollton, GA
Griffin, GA
Newnan, GA
LaGrange, GA
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29
I understand that my participation includes the attendance or review of the Workshop Orientation, and I will attend one of the scheduled sessions. I agree to upload accurate business information and will participate to the best of my ability.
*
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Details can be found on our WCGBC Website https://wcgablackchamber.org under EVENTS "What's Hot"
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30
Date
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Date
Month
Day
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31
How did you hear about us?
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Newspaper
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Email
Magazine
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Other
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Newspaper
Internet
Email
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Word of Mouth
Other
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32
Workshop Location
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33
Please Specify
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