Black Business Initiative

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More About Your Business

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Business Name

Business Phone

Industry of business/Proposed Business

Main Product or Service

Business Details

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More About Your Business.

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Business Address

Province

City

Number of Employees

Business Details

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More About Your Business.

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Information/Assistance to be requested:

Business Advice

Funding

Networking

Other

Type of Business

Business Form, if known? (i.e.: sole proprietorship, incorporated, partnership etc.)

Business Details

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More About Your Business.

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If requesting funding, indicate amount of request? ($)

Please indicate your state of readiness by checking the appropriate box:

Business Idea – I have an idea but I have not yet conducted any research to see if it is a viable business opportunity.Business Plan- I am currently focused on gathering information and developing my business plan.Business Start-Up – I have prepared a business plan including financial forecasts and am ready to open my business.New Business – I have opened/started my business but it has been in operation less than 2yrs.Existing Business – My business has been in existence for more than 2 years.

If you have checked the column indicating business plan, how would you categorize your plan development?

Business Details

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More About Your Business.

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Please provide a brief description of the specific training/ knowledge or expertise, which you possess and is relevant to your proposed business.

How many years of experience do you have in this field?

How did you hear about BBI

Business Details

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Black to Business

Empowering entrepreneurs