60 Hour Entrepreneurial Training Program Application - Mid-Hudson 60 Hour Entrepreneurial Training Program Application - Mid-Hudson Please fill out the application below to be considered for the program. It will only take about 5 minutes to complete.Name* First Last Company NameWork PhoneHome or Mobile PhoneEmail* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Are you a Veteran?*YesNoType of Business you are interested in starting or expanding?Are you currently in business?*YesNoWhen did you start your business?Do you have a written business plan?YesNoPartial, needs workAre you currently working in your business?YesNoHow many hours are you working in your business?How much do you plan to work in your business in the coming year?Full TimePart TimeUnsureIs your business earning enough revenue to cover expenses?YesNoUnsureIs your business making a profit?YesNoUnsureDo you have the resources (capital) to continue and/or expand your business?YesNoUnsurePlease enter the current status of your business idea.Do not yet know what type of business I wantHave business idea, but have not begun a bsuiness planIn process of developing/writing my business planIn process of starting a businessWill your business initially be home based?YesNoUnsureMost businesses take 1-3 years to generate a profit. Do you have the resources/money you will need to live on while you start your business?YesNoUnsureHave you previously owned a business?YesNoHow much do you plan to work in your business in the coming year?Full TimePart TimeUnsurePlease describe your business or business idea further:*What unique need does your product/service address in the market?*What skills, talents, interests and passion provide you with the ability to fulfill that need?*Why do you think people will buy it from you?*Who is your competition?*Describe a typical customer for your product/service*Do you have a backup plan if your business does not succeed?*YesNoIs there anything else that you believe would help you with your business (i.e. family in the industry, strong community support, etc.)?*Please select the level of proficiency with the followingManaging files and folders*NoneBeginnerIntermediateAdvancedNot SureMS Word*NoneBeginnerIntermediateAdvancedNot SureMS Excel*NoneBeginnerIntermediateAdvancedNot SureInternet*NoneBeginnerIntermediateAdvancedNot SureEmail*NoneBeginnerIntermediateAdvancedNot SureHow often do you use the computer?*DailyWeeklyMonthlyRarelyNeverWhat programs do you use the most? (check all that apply)* MS Word or another word processing application MS Excel or another spreadsheet application PowerPoint Internet (web browsing, etc.) None of the above Can you open an application?*YesNoUnsureCan you use a printer?*YesNoUnsureCan you use a scanner?*YesNoUnsureDo you own a smart phone (blackberry, iPhone, etc.) or tablet?*YesNoUnsurePaste your resume or description of recent work history here. This iframe contains the logic required to handle Ajax powered Gravity Forms.
