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Application Form for Start Your Own Business
1.
First Name
2.
Last Name
3.
Gender
Male
Female
Other
4.
Age
Under 18
18-24
25-34
35-44
45-54
55-64
65+
5.
Email Address
6.
Mobile Number
7.
What Island do you live on?
8.
What Settlement Do You Live In?
9.
Have you ever started a business before?
Yes
No
10.
Why do you want to start a business?
11.
What is your Business Idea (If you don't have one yet, write None)
12.
Have you written a business plan for your idea?
Yes
No
13.
How much money will you need to start your business?
$0-$2,500
$2,501-$5,000
More than $5,000
Don't Know
14.
Do you have any funds to invest in your business?
Yes
No
15.
If Yes, how much of your money will you put in it?
less than $2,500
$2,501-$5,000
More than $5,000
Don't Know
16.
Are you currently employed?
Yes
No
17.
How much time will you be able to give your business?
Full time
3/4 of your time
1/2 of your time
Don't know
