Jumpstart Membership

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How does Rock County Jumpstart help business owners?

Our organization assists small business owners in Rock County by providing them with access to free entrepreneurship resources and training. Our primary programming is on providing culturally competent, culturally relevant, and culturally sensitive services for business owners who self-identify as Black. Please complete the intake form below to let us know how we can help start, grow, and scale your business.

Email *

First Name *

Last Name *

Phone Number (Include Area Code) *

Do you currently operate a business? *

Yes

Other

How long has your business been in operation? *

I don't own a business yet, I just have an idea

1 - 6 months

6 months - 1 year

1 year - 3 years

3 years - 5 years

5+ years

What is the name of your business? *

Is your business located in Rock County? *

Yes

Other

Are you currently a Rock County, WI resident? *

Yes

Other:

Is your business 51% owned and operated by a person who self-identifies as Black? *

Yes

Is your business more than 51% owned AND operated by a person who self-identifies as Latino?
*

Yes

What type of goods/services does your business sell? *

Please provide a link to your website if you have one. *

Please provide a link to your Facebook page if you have one. *

Which of these other social media platforms do you use to promote your business? *

Instagram

Tik Tok

X (formerly known as Twitter)

Snapchat

Other

Required

Where do you run your business? *

From my home

I rent a small office in an office building (I sell a service)

I have a storefront (I sell products)

I work from coffee shops and other places where I can find free wifi

Other

What are the top 3 challenges you have running your business? (Choose up to three answers) *

I need capital to operate my business

I'm struggling with marketing and promotion

I don't know if I have the right customers

I don't know if my pricing is right

I don't have enough time to run my business

I'm not selling enough product/service

I don't have enough money to advertise

I need a business plan

My credit is bad so I can't get a loan

I just need somebody to help me get organized

Required

What have you accomplished for your business so far?

Setup LLC

Completed a business plan

Completed a website

Setup social media

Using social media for marketing and promotion

Opened a business bank account

Have you received business assistance from any other service providers?

Yes

How much time per month are you able to commit to business training and one-on-one business coaching at Rock County Jumpstart

2 HRS

4 HRS

6 HRS

10+ HRS

Do you have any additional comments or questions?

A copy of your responses will be emailed to the address you provided.

Submit

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