UFI Training and Program Intake Form

Dit bestand kan niet worden geopend, omdat JavaScript niet aanstaat in je browser. Zet JavaScript aan en laad het bestand opnieuw.

Please complete the following information to apply for services or training.

Application Date *

JJJJ

Program or/and Service(s) requested *

Business Basics 8-week training (FASTERWV Scholarship Eligible)

UFI Healthy Foods Kitchen Program - Community Kitchen Program

UFI Food & Farm Incubation Program

UFI Planning for Profit 2.0

UFI Maker Space Program - Creatives/Maker Entrepreneur Program

UFI Retail Training Program - Learn how to open your own retail store.

UFI Vendor Training Program - Learn how to sell your product in shops/at vendor events.

Neighborfood Ecosystem Urban Gardening Training Classes

Business Coaching/Technical Assistance

Affiliate Program - incubator program without office space

Anders:

Verplicht

First Name *

Last name *

Street Address *

City *

State *

Zip *

Phone # *

Ethnicity *

American Indian/Alaska Natie

Asian

Black

Hispanic/Latin American

native Hawaiian/pacific Islander

White

South East Asian

Other

Multi-Racial

Anders:

Verplicht

Veteran *

Yes

Head of the household *

Yes

Not sure, need more information.

Find the number of people in your household. Place a check next to the one that applies to you. *

Anders:

Verplicht

Place a check next to the one that applies to your yearly income. *

Less than $16,335

$16,336 - $24,900

$24,901 - $34,900

$34,901 - $44,900

More than $44,901

Verplicht

Gender *

Male

Female

Non-Binary

Prefer not to answer

Anders:

Do you have a disability? *

Yes

Not sure, I need more information .

If yes please describe below:

Prefer not to answer

Anders:

Plan to apply for a loan?

Yes

Not sure, I need more information.

Selectie wissen

If you are looking for help starting a business, please complete the rest of the questions.

Geographic Location

Urban

Suburban

Rural

Selectie wissen

Do you live in Huntington city limits? *

Yes

How did you hear about Unlimited Future, Inc

Word of Mouth

Website

Social Media

Anders:

Selectie wissen

Select your priority training goals

Need to access to specific training and resources (Community Kitchen, Maker space, workforce trainings)

Business Start

Business Enhancement

Professional Improvement

Self-Improvement

Anders:

Business Idea or Name

Information about your business

Tell us more about your business or business idea:

Are you in business now?

Yes

Not yet, but soon.

Selectie wissen

Woman owned?

Yes

If yes, enter % woman owned below

Anders:

Selectie wissen

Minority owned

Yes

If yes, enter the percentage below:

Anders:

Selectie wissen

Number of employees (indicate full time and part time)

Average Wage $ per hour (for existing businesses)

Offer Health Insurance (for existing businesses)

Yes

Need more information about how to do this.

Selectie wissen

Website of your business

Business Address

Formulier wissen

Verzend nooit wachtwoorden via Google Formulieren.

Deze content is niet gemaakt of goedgekeurd door Google. - Servicevoorwaarden - Privacybeleid

Ziet dit formulier er verdacht uit? Rapport

Formulieren