Begin Class Registration

Course Title*

Presenter*

Full Name*

First Last

Mailing Address*

Street Address City State ZIP Code

Email Address*

Telephone*

Gender*

Male
Female

Veteran Status*

Non-Veteran
Veteran
Service- Disabled Veteran

Military Status*

Non-Military
Active Duty
Member of Reserve or National Guard

Do you consider yourself a person with a disability?*

Yes
No

Race/Ethnicity (Choose One)*

White
Hispanic Origin
Asian
Black or African American
Native American or Alaska Native
Other/Unknown/Multiple

Business Status*

Exploring/Not in business
Start-up (first 2 years)
Existing (2+ years of revenue generation)

Are you currently in business?*

Yes
No

If your are currently in business, please provide name of company

Month/Year Business Started

Please select income*

Number of people in your household*

Are you interested in a small business loan?*

Yes
No
Unsure

Do you know your credit score?*

Yes
No

If, yes please share if you would like a free credit consult

Would you be interested in receiving emails from CEED about our events and workshops?*

Yes
No

Would you be interested in volunteering at CEED? If yes, our volunteer coordinator will reach out to you!*

Yes
No

Industry (select one)*

If other industry was selected please describe your type of industry

Thank you for providing the above information and taking interest in the services of the Women’s Business Center at CEED. This information will help us better serve you. All our granting agencies request demographic information regarding our clients.

This information will be added to your confidential file and not shared with any entity other than our Federal, State, and Local grantors.

Thanks to the continued support of our funders we are able to bring the local area various workshops & small business support to assist women in business!

THANK YOU: The Small Business Administration, CEED, City of Fayetteville, Cumberland County, In-kind instructors, Corporate class sponsors, and Private donors. For more about sponsorship opportunities please email WBC1@ncceed.org

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Workshops & Events

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