REGISTER NOW

This registration form is for our information session. An E4E team member will contact you within 1-3 business days after submission.

Name

First Name

Last Name

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender (optional)

Race/Ethnicity (optional)

What are your pronouns? (optional)

Are you a veteran, spouse of a veteran or child of a veteran?

Based on last year's Federal tax return, what was your annual household Adjusted Gross Income? (Proof of income will be required prior to attending the Business Readiness Workshop.)

How many people live in your household (including you)?

Please briefly describe your business idea or existing business.

How did you hear about us?

Enterprise for Equity strives to do all we can to support our participants in their learning. Do you consider yourself to have a disability?

Yes

If so, what accommodations would you need to participate in our programs?

Are you currently a DVR (Division of Vocational Rehabilitation) customer? *

Yes

Would you like to receive the Enterprise for Equity email newsletter?

Yes

I would like to register for the BIPOC business readiness workshop April 26th & 27th

Yes

After submission, an E4E team member will contact you within 1-3 business days.

This institution is an equal opportunity provider and employer and does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.