Black Business Initiative

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Business Name

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Industry of business/Proposed Business

Main Product or Service

Business Details

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Business Address

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More About Your Business.

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Information/Assistance to be requested:

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

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How did you hear about BBI

Business Details

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28th Annual General Meeting

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DATE

LOCATION

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Empowering entrepreneurs