Question Title

* 1. First and Last Name

Question Title

* 2. Business Name (if applicable)

Question Title

* 3. Website (if applicable)

Question Title

* 4. Address

Question Title

* 5. Phone:

Question Title

* 6. Email

Question Title

* 7. Is your business established?

Question Title

* 8. If you answered "Yes" to question 7, when was your business established?

Question Title

* 9. How did you hear about the BizGro’s NxLevel Business Planning Course?

Question Title

* 10. In one or two sentences, please tell us why you want to take the course:

By enrolling in this course, I agree to and understand the following terms and conditions:
  • 100% course attendance, homework completion, and punctuality are required.
  • Course participants are not guaranteed loans from Fulton Economic Development Corporation’s loan fund.
  • Fulton Economic Development Corporation and its program partners make no claims of confidentiality regarding the disclosure of participant’s business ideas, nor can participants expect total confidentiality from other participants during the duration of the course.
  • In consideration of Fulton Economic Development Corporation offering this course and the loan fund, participants waive all claims against Fulton Economic Development Corporation and its partners.
  • All fees paid to Fulton Economic Development Corporation are non-refundable.
  • Participants agree to take part in surveys and evaluations regarding the course.

Question Title

* 11. Signed (please type)

Question Title

* 12. Date

Date

T