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Have you received any VSEDC Training or attended a Workshop?
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Location where training was received:
Business Center (Slauson)
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Select what best describes you?
Women Owned Business
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Independent Contractor
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SubContractor
Employed (Full Time/Part Time)
Consultant
Other
Are you a Non-Profit organization?
Yes
No
What areas are you seeking assistance from VSEDC?
Personal Info
Phone Number
Mobile Number
Personal Address
Apt/Suite #
Personal City
Personal State
Personal Zipcode
Demographic Info
Birth Date
Gender
Male
Female
Other
Prefer Not to Say
Please specify your gender identity:
Military Service
Prior Military Service
Currently Enlisted
Never Served in Military
Race (Check ONE of the following categories)
African American or Black
White
American Indian or Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
African American/Black AND White
Asian AND White
American Indian/Alaskan Native AND White
American Indian/Alaskan Native AND African American/Black
Balance/Other
Prefer Not to Say
Ethnicity (check one)
Hispanic / Latino
Non Hispanic / Non Latino
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Business Info
Business Name
Business Phone Number
Business Email
Products or Services
Business Website
Current Business Location
Home-Based
Office / Storefront
Online
Business Address
Suite #
Business City
State
Business Zipcode
Business Registration Date:
Please select the business registration documentation held for you business:
Woman Owned Small Business (WOSB)
Economically Disadvantaged Women Owned Small Business (EDWOSB)
HubZone
Minority Business Enterprise (MBE)
Veteran Owned Small Business (VOSB)
NMSDC
GWBC
City of Los Angeles
Los Angeles County
Disadvantaged Business Enterprise (DBE)
California Department of Transportation (CDOT)
WBENC
Business Tax Registration Cert. (BTRC)
Trademarks/Copyright Patent
Federal Tax ID Number
Seller's Permit/Resale Number
Licensed Notary
Registered DBA
Class A Commercial License
Other
Business Assessment
Are you operating your business full or part time?
Part Time
Full Time
How many employees currently work for your business?
Do you have a business plan?
Yes
No
What is the business's projected income?
0-$100,000
$100,000- $200,000
$200,000- $300,000
$300,000- $400,000
$400,000- $500,000
$500,000 +
$1 MIL +
What is your business structure?
Sole Proprietorship
C - Corporation
General Partnership
S - Corporation
Limited Liability Company
Limited Liability Partnership
Other
Does your business have any contracts or vendization?
City
State
County
Federal
Corporate
Are seeking procurement assistance
City
County
State
Federal
Any Available
I don't know
What are your NAICS Codes?
Are you in danger of closing your business?
Yes
No
Are you seeking to hire additional employees?
Yes
No
Business Affected by Covid-19?
Yes
No
Were you referred by PCR?
Yes
No
Have you applied for the Emergency Disaster Fund
Yes
No
What day did you apply for EDF?
Have you lost business because of Covid-19?
Yes
No
Expense increased caused by Covid-19
Yes
No
Bar/Restaurant
Yes
No
Employee layoffs due to Covid-19
Yes
No
Business closed by Covid-19
Yes
No
Date closed by Covid-19
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Home
About Us
Best Buy Teen Tech Center
Job Opportunities + Requests for Proposals
Commercial Industrial Development
Annual Report
Best Buy Teen Tech Center
Lending
Success Stories
Get Started!
Calendar
Contact
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