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Venture Mapping Course Intake Form

Welcome, we're excited to learn more about your business idea and support your journey through the Venture Mapping course. This short form helps us get to know you, understand your goals, and make sure your class experience is tailored to your needs. It only takes 5 minutes

Thank you for taking the time to share your story with us.

Kristi

Click the button below to start.

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Question 1 of 11

First and Last Name

Question 2 of 11

Email Address

Question 3 of 11

Cell Phone Number

Question 4 of 11

Mailing Address: Street, City, State, zip

Question 5 of 11

Tell us about your business or business idea(s). Give me as much information as you can. If it's something you wrote down on the back of a napkin...great. If you've been running the business for a year... also great! If you have 10 business ideas... list them all!

Question 6 of 11

What are your long-term goals as an entrepreneur or business owner? This could include financial independence, serving your community, building generational wealth, etc. 

Question 7 of 11

Tell me a little about yourself. Careers, jobs, passions, kids, dogs, etc... (you can find info about me on the website :) 

Question 8 of 11

Please select the best DAY of the week that you can attend class. We typically will meet once per week for an hour. (In the next question you'll give me times)

(Select all that apply)
A

Monday

B

Tuesday

C

Wednesday

D

Thursday

E

Friday

F

Saturday

Question 9 of 11

What are the best times of day for you to attend class? Morning, afternoon, evening? Give me specific times that work best for you, and we'll try to accommodate everyone as best we can!

Question 10 of 11

Are you associated with an organization or employer that is sponsoring your My Venture Coach programs? If yes, please indicate the name of the organization. (Example: SkilledUS-Indianapolis, Circles of Allen County, etc...)

Question 11 of 11

Is there anything else you’d like your instructor to know before class starts?

Confirm and Submit