The Black upStart School: Entrepreneurs, Innovators & Wealth Creators

The Black upStart School: Entrepreneurs, Innovators & Wealth Creators
Name *

First Name Middle Initial Last Name
Birth Date *

Month Day Year
Gender *

Male Female Decline to Answer
Race: *

Black White
Highest Level of Education Completed: *

Some High School High School Degree Some College College Degree Master's Degree PHD
In what city are you interested in being trained:

Tulsa - 2020 - Apply on Bootcamp Dates Page www.theblackupstart.com DC Philadelphia Brooklyn Atlanta Raleigh Virtual Classes
List cities where you would travel to be trained. *
Of which country are you a citizen? *
Phone *

Area Code Phone Number
E-mail Address *
What type of entrepreneur are you? *

Early Stage, No Employees Self Employed, You Work Full-Time as the Only Employee Experienced, Two or More Employees Idea Stage I Am Not an Entrepreneur.
I sell... *

Product (Currently In Business) Service (Currently In Business) I am interested in learning how to sell a product. I am interested in learning how to provide a service. N/A
How much revenue does your business gross annually? *

No Revenue $1 - $10,000 $10,001 - $50,000 $50,0001 - $75,000 $75,000 - $100,000 $100,001 - $150,000 $150,001 - $250,000 $250,000+ N/A
Why do you want to enroll in the Black upStart School? (Your Essay Must Be 300 Words) *
Business Website (if you don't own a business, type N/A) *
What type of challenges have you experienced as an entrepreneur. (Your Response Must Be 100 Words. Please type N/A if you not applying for the Black Entrepreneurs' Popup School)
What unique knowledge, skill or ability will you bring to the learning environment? (Your response must be 100 words) *
I am most interested in the following trainig: *

Entrepreneurship Training Wealth Building (Invest in Stocks, Buy Investment Property, Side Hustle) Technical Skills Training (Coding, Website Development, Etc)
Your CIty *
Your State *
LinkedIn Profile *
Should be Empty:

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