CIC Small Biz Circles Registration Form
Small Biz Circles (SBC) are a great source of inspiration and community.  Consider connecting with entrepreneurs who can assist you in navigating the journey of owning your own business.  

Please take a moment to complete the form below to tell us the type of Small Biz Circle you'd like to be a part of and when you'd be available to gather.
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Email *
Name *
Phone Number *
Business Name *
Business type and brief description *
Areas of Interest *
Please select 1-3 areas of interest for your SBC.  
Required
What are you hoping to gain from participating in a SBC?  *
How would you prefer to meet? *
Required
What day(s) is(are) best for you to meet? *
Required
Would you prefer a day or evening circle? *
Required
Please list any professional commitments, personal obligations or availability restrictions that should be considered when placing you in a SBC (ex available nights only, unavailable on Tuesdays, cannot meet on weekends, etc). *
Are you willing to participate in a collaborative learning environment, meaning sharing your experiences with other entrepreneurs AND listening to theirs to offer feedback? *
Required
Are you willing to fully engage while participating in a CIC Small Biz Circle, meaning no work, email, idle cell phone use, or side conversations that aren't contributing to the SBC environment? *
Required
Are you willing to participate in a CIC Small Biz Circle Orientation? *
Required
What other CIC programs have(are) you participated(ing) in? (ex Entrepreneur Workshop, FMP, Mentoring, Office Hours, etc.)  Please note if past or present. *
Have you participated in a CIC Small Biz Circle in the past? *
Required
Is there any additional information you'd like to share before being placed in a SBC?
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