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OAKLAND'S EMERGING 100 - Entrepreneur Interest Form
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Full Name
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Your answer
City
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State
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Phone Number
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Email Address
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Please make sure that you enter your email address correctly so that we can get in contact with you, thanks!
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Date of Birth
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How can we help you? Please select all that apply.
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I want someone to help me design a plan to launch my business.
I want up to $10,000 in interest-free loans to get my business started.
I want a mentor who will support me in running my business.
I want to learn new skills, such as branding and marketing, sales, accounting, etc.
I want access to free co-working office space at 2781 Telegraph Ave in Oakland, CA
Other:
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If you wish to be identified as a member of any of the following groups, please select:
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Asian
Black or African American
Hispanic or Latino
Native American
Native Hawaiian or Other Pacific Islander
White
Two or More Races
Other
Estimated personal income over the past 12 months:
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Your answer
How did you hear about Oakland's Emerging 100?
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Choose
Youth Business USA
Youth Impact Hub Oakland
Laney or Merritt College (or other Peralta College)
Presentation
Church
Newspaper/Magazine
Word of mouth from someone you know
A different website
A community organization (write their name below!)
Social Media (Facebook, Twitter, Instagram, etc.)
Other Person (write their name below!)
Name of person or organization who referred you:
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Does your business have a name? If so, write it below.
If you haven't named your business yet, just leave this blank!
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Please check your email for information on the next steps to get support for your business through Oakland's Emerging 100!
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