Annie Catherine Pridgen Community Development Foundation
Entrepreneurial Counseling & Business Assessment Intake Form
Program Description
Thank you for your interest in ACP's Entrepreneurial Counseling and Business Assessment Program. This intake form helps us understand your business, identify opportunities for growth, and determine the resources, training, and technical assistance that may best support your goals. Information provided will be used solely to evaluate your business needs and connect you with appropriate services and partners.
Business Basics
Legal Business Name
*
DBA / Trade Name
Business Owner Name
First Name
Last Name
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Email Address
*
example@example.com
Business Structure
*
Please Select
Sole Proprietorship
Partnership
LLC
Corporation
Cooperative
Nonprofit
Other
Year Business Started
Do You have a business Plan
*
Yes
No
Upload Your Business Plan
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Brief Description of the Business
What are the biggest challenges your business is currently facing?
*
What growth plans or goals do you have for your business?
What support or resources would be most helpful to you right now?
Signature
*
Submit
Submit
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