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* 1. Your Name:

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* 2. Name of Your Business:

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* 3. Your Email Address:

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* 4. Your Cell Phone Number:

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* 5. Your Birth Date

Date

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* 6. Your Business Website Address, if applicable: 

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* 7. How long have you been in business? (please specify number of months or years you have operated your current business)

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* 8. What is your business mailing address?

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* 9. What is your race or ethnicity?

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* 10. Does your business have one of the following certifications?

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* 11. Have you ever leased space for your business in the past? 

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* 12. If you are considering leasing space for your business, within what timeframe are you likely to enter a lease? 

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* 13. What products and services does your business sell?

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* 14. Have you ever participated in trainings or business development and resource programs with any of the following organizations? (please check all that apply)

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* 15. How many employees or contractors are working with/for your business, including you? (please specify full-time vs part-time)

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* 16. What else would you like us to know about you or your business?

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* 17. Can you commit two hours per week for up to eight weeks to complete all elements of the CATCH Commercial Program?