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Entrepreneur Academy Enrollment Form
WELCOME! We are so glad to process your registration to attend our Entrepreneur Academy. Please complete this form to help our team prepare for your participation in this amazing journey to business ownership.
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* Indicates required question
Choose your location
Choose
Chenango Campus
Harrold Campus
Delaware Chamber of Commerce
Full Name (first, last)
*
Your answer
Email Address
*
Your answer
Contact Phone (For Cancellations or Urgent Updates)
Your answer
Mailing Address (street number, postal box)
*
Your answer
City, St, Zip Code
Your answer
What interested you in taking this program?
*
Want to start my business now
I have an idea I want to explore
I have a hobby I would like to turn into a business
Need to find something to make money at home
I have a small business and need to expand it
I graduated from BOCES and want to start a business using what I learned
Other:
Required
Do you have access to internet and computer equipment at home?
*
Yes
No
Are you comfortable working with Google tools?
Yes
No
Clear selection
If not, would you be willing to complete an online course before the program? (Free course)
Yes
No
Clear selection
Do you have any questions? Please write them here and we will get back to you.
Your answer
Payment Method
*
Will send a check (payable to DCMO BOCES - mail to 6678 Ct. Rd 32, Norwich 13815)
Have a credit card, please call me to process over the phone
Will stop by the BOCES office to pay (payment required a week before class starts)
Would like to apply for a scholarship for Women Microenterprise fund
Would like to apply for a scholarship for BOCES 2020 Graduates fund
Other:
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