BC Catch Enrollment Application
General Business Information
Legal Business/Organization Name
*
DBA Name (if different)
Primary Contact
Title
First Name
*
Last Name
Suffix
Phone
*
Email
*
Business Address
Address Line 1
Address Line 2
City
State
Please Select
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Zip/Postal Code
Business Type
*
Nonprofit
For-profit
Years in Operation
*
< 1 year
1-3 years
3-5 years
> 5 years
Financial Snapshot
Most-recent Annual Revenue (USD)
*
< $250 K
$250 K 0 $1 M
$1 M - $3 M
$3 M - $5 M
Accounting Platform in Use
*
Current Accounting Environment
Briefly describe your existing accounting set-up (staff roles, frequency of bookkeeping, outside CPA, etc.)
*
How would you describe your/your team's understanding of the bookkeeping & month-end close process?
*
Beginner
Basic
Intermediate
Advanced
Focus & Goals
What specific areas do you need help with or wish to focus on? (e.g., bank reconciliations, chart of accounts, grant tracking, financial reporting)
*
What is your primary goal for participating in BC CATCH? (Skill you want to master, process you want to streamline, etc.)
*
Availability & Commitment
Preferred start month and typical days/times available for training sessions
*
Additional Information
Anything else we should know to serve you better?
Please review and acknowledge each statement below.
Eligibility Confirmation
*
I confirm our most recent annual revenue does not exceed $5 million, and we are a Beaver County Chamber member in good standing.
Program Participation Confirmation
*
I understand participation requires timely access to financial records and completion of feedback surveys.
Signature
*
By entering your name and today’s date above, you certify that the information provided is accurate to the best of your knowledge and agree that this electronic signature has the same legal effect as a handwritten signature.
Today's Date
*
-
Month
-
Day
Year
Date
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