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Have you received any VSEDC Training or attended a Workshop?
Yes
No
Location where training was received:
Business Center (Slauson)
Business Center (Western)
YWCA
West Angeles Church
Other
Select what best describes you?
Women Owned Business
Male Owned Business
Freelancer
Independent Contractor
Solopreneur
SubContractor
Employed (Full Time/Part Time)
Consultant
Other
Please specify location:
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
Prefer Not to Say
Business Info
Business Name
Business Phone Number
Business Email
Products or Services
Business Website
Current Business Location
Home-Based
Office / Store Front
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
Please select a projection of your annual income:
0-$100,000
$100,000- $200,000
$200,000- $300,000
$300,000- $400,000
$400,000- $500,000
$500,000 +
$1 MIL +
Business Formation: What is your business legal classification?
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
Please list your primary NAICS Codes with title and number.
Are you in danger of closing your business?
Yes
No
Are you seeking to hire additional employees?
Yes
No
Only fill in if you are not human
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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