***National ACE's Capital Readiness Program Intake Form for Coaching***

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Sign up to claim a spot with our Capital Readiness Program Resources - including coaching and accelerators. Our coaches will provide 1-on-1 meetings to develop your business plan, get you prepared to apply for loans, and help you strategize to grow your business.

For full program details: https://www.nationalace.org/capital-readiness-program

Email *

Intake Form

Learning more about you as a small business owner helps us connect you to the best business coach and accelerator program for your needs.

First Name *

Last Name *

Business Legal Name *

D/B/A Name *

Industry *

Business Address *

City *

State *

Zip Code *

Cell Phone Number *

Email (one that you check regularly for communication) *

Business Owner Ethnicity *

Business Owner Gender *

What is the legal structure of your business? *

Sole Proprietorship

Partnership

S Corporation

C Corporation

Limited Liability Corporation (LLC)

Limited Partnership (LP)

Does this business focus on exports?
*

Yes

If yes, what is the planned or actual export destination?

Are you the owner of the business? *

Yes

Other

If "other" - what is your role with the business?

# of Full-Time employees (including owner): *

# of Part-Time employees: *

Is your business women-owned? *

Yes

Is your business minority-owned? *

Yes

Veteran-Owned

Is your business veteran-owned? *

Yes

Voluntary Self-Identification of Disability (optional)

Yes, I have a disability, or have had one in the past

No, I do not have a disability and have not had one in the past

I do not want to answer

Clear selection

Gross Annual Revenue in 2023 *

What kind of one-on-one business coaching are you interested in? *

I need help writing my business plan

I need help understanding the numbers/financial side of my business to become more profitable

Help me develop a marketing plan

I need help bringing in more customers

I'd like to receive money to grow my business, but don't know how

I need help hiring quality employees

N/A - I'm not interested in business coaching through ACE right now

Required

If not listed above, how would you like this coaching to support your business?

How did you hear about this business coaching? (If an organization referred you, please write their name) *

Please describe any challenges you are currently facing in your business

Would you be interested in receiving business coaching in a language other than English?

Yes

Clear selection

If "Yes", which of the following languages would you want to receive your coaching in?

Chinese

Thai

Korean

Spanish

Hindi

Urdu

Vietnamese

Clear selection

What is the project you are working on/goal you are headed towards that you require capital for? (Type N/A if you are not seeking funding) *

How much capital do you need for this project/goal? (Type N/A if you are not seeking funding) *

What is your projected timeline for receiving access to capital? (i.e. When would you need to receive funds by?) (Type N/A if you are not seeking funding) *

How long do you need access to funding? (ex. 30 days, 3 months, etc.) (Type N/A if you are not seeking funding) *

Is there anything else you would like to mention that wasn't covered above?

Submit

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