The Community Resource Development program at AL Extension AAMU, in collaboration with Salvation Army & East Lake Initiative, are happy to offer this 6-week business development program to provide you with the tools and resources to take your business to the next level. Your responses will be used in the process for selecting cohort participants. Information is confidential but will be shared among the 3 partner organizations. If you are not selected, we will use this information to provide you with alternative resources.

Contact Information

Name

Phone Number

Email address

First, some questions about you.

The following questions ask about demographic information. Sensitive information is only requested, not required, but we hope you will share with us if you are comfortable.

Business Address
(Can be home address if business is home-based)

Address

City

County

Zip

What is your race/ethnicity? Select all that apply to you.

Do you fall into any of these groups? There are sometimes business opportunities geared towards these groups.

LGBTQ(+)
Disabled
Veteran
None of these apply to me

What is your age?

What is your employment status?

I am currently unemployed.
I am employed part-time.
I am employed full-time.
I am a full-time parent.
Prefer not to answer.

What is your estimated annual income?