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Apply now for the Community Business Academy!
Apply Now
Community Business Academy Application
Community Business Academy Application
Step 1 of 4
25%
Thanks for your interest in Sunshine Enterprises Community Business Academy.Please fill out the entire form. It will likely take 30-45 minutes to complete. DO NOT LEAVE ANY ANSWER BLANK!If you are accepted, you will be notified by email or phone and will be required to pay your registration fee in full, or make other arrangements with us, by the first day of class.
For which CBA Cohort are you applying?
*
Fall 2016 @ Chicago
Fall 2016 @ Evanston
Direct to Coaching
The following sections outline the commitments of the academy. Please fill in your initials in the section below.
I certify that if accepted in the Community Business Academy, I will:- Attend every class. - Arrive on time. - Attend for the entire class. - Complete and submit all take-home assignments. - I will secure my own child care needs. - I will secure a reliable form of transportation.
*
I agree
I hereby additionally certify that if accepted in the Community Business Academy, I will pay or make arrangements to pay the registration fee on or before the first day of class.
*
I certify
Contact Information
Name
*
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone Number
*
Alternate Phone Number
*
Emergency Contact
Please tell us who to reach in case of an emergency.
Name
First
Last
Phone
Recruitment
How did you hear about us? Please check all those that apply
*
Advertisement
CTA
Drop In
Email
Event
Facebook
Flyer
Greenline
Other
Referral
Web Search
From whom did you hear about us?
*
Please include the name of the person or organization (e.g., CTA) from whom you heard about Sunshine Enterprises
Demographic Information
Please note this information is collected for our internal statistical purposes only. The information you provide does NOT have any effect on your eligibility for our program.
Please indicate your race or ethnic background. Check All That Apply
Native American or Alaskan Native
Asian
African American
Native Hawaiian or Pacific Islander
Hispanic or Latin American
Caucasian or White
Other
Highest level of education completed.
Less than High School
Some High School
High School Graduate or Equivalent
Trade or Vocational Degree
Some College
Associate Degree
Bachelor's Degree
Graduate or Professional Degree
Prefer Not to Answer
Are you a veteran
No
Yes
Would you consider yourself to have a disability?
No
Yes
Have you ever declared bankruptcy?
No
Yes
What barriers to employment do you feel you face?
Transportation issues
Taking care of an ailing family member
Daycare issues
Convicted of a crime
Previously incarcerated
English as a second language
Other
No significant barriers
Other, list here
Community Business Academy Application Spring 2015 Thanks for your interest in Sunshine Enterprises Community Business Academy.Please fill out the entire form IN ONE SITTING. It will likely take 30-45 minutes. DO NOT LEAVE ANY ANSWER BLANK!If you are accepted, you will be notified by email or phone and will be required to pay your registration fee in full, or make other arrangements with us, by the first day of class.
Employment Status
Current Employment Status
Employed by someone else Full-Time
Employed by someone else Part-Time
Self-employed Full-Time
Self-employed Part-Time
Not employed but looking for work
Not employed and not looking for work
Homemaker
Retired
Student
Prefer Not to Answer
If employed, where do you currently work?
What is your position or title?
Do you have any work and/or educational experience directly related to your business idea?
Yes
No
Have you ever worked as a manager or supervisor?
Yes
No
Household Income
Under $20,000
$20,000 - $30,000
$30,000 - $40,000
$40,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 - $150,000
$150,000 or more
Do you have a personal checking or savings account?
No
Yes
Do you have any savings you can use to start your business?
No
Yes
What is your current credit rating?
Excellent (750+)
Good (650-750)
Fair (600-650)
Poor (less than 600)
Don't Know
Household Income
Please complete the information below
Are you a single parent?
Yes
No
Are you the primary earner for your household?
I am the primary means of income for my household.
No, I share income responsibilities with someone else.
How many people are living in your household?
Are you currently receiving any form of public assistance?
LINK/ Food Stamps
TANF
SSI (Social Security)
Unemployment
Housing Assistance/ Section 8
N/A
Other
What was your household income last month?
What was your household income last year?
*
To what extent does your current monthly household income enable you to cover your monthly expenses?
Completely
Mostly
Not much
Not at all
Did your personal or household income change significantly since last year, or do you expect it to change soon? If so, please explain.
Business Information
What is the name of your business?
Describe your business in one sentence.
In what industry is your business?
Accounting/Finance
Advertising/Public Relations
Aerospace/Aviation
Agriculture
Apparel
Arts/Entertainment/Publishing
Automotive
Banking/Mortgage
Biotechnology
Business Development
Chemicals
Clerical/Administrative
Construction/Facilities
Consumer Goods
Customer Service
Education
Electronics
Energy
Engineering
Entertainment
Environmental
Food & Beverage
Government
Healthcare
Hospitality
Human Resources
Installation/Maintenance
Insurance
Internet
Job Search Aids
Law Enforcement/Security
Legal
Machinery
Management/Executive
Manufacturing
Marketing
Media
Not For Profit
Other
Pharmaceutical/Biotech
Professional Services
QA/Quality Control
Real Estate
Recreation
Restaurant/Food Service
Retail
Sales
Science/Research
Shipping
Skilled Labor
Technology
Telecommunications
Transportation
Utilities
Is your business currently open and making sales?
Business is open and making sales
Business is open and not making sales
I am not currently in business
If your business has been open, for how long?
Less than a year
1 year
2 years
3 years or more
What was the date of your first sale?
Have you registered your business?
No
Yes
Where is your business located? ( can skip if not applicable)
Home-based
Rented: Retail
Rented: Office Space
Various locations
Do you work Full-time or Part-time on your business?
Not at all
Part-time (Less than 35 hours/week)
Full-time ( 35 hours/week)
What were business sales last month?
What were business sales over the last year?
Are you able to pay yourself a salary from the business?
No
Yes
Do you have anyone else that you pay to help operate the business?
No
Yes
No. of Full-Time Employees (if applicable).
No. of Part-Time Employees (if applicable).
No. of Temporary paid employees (contract, 1099, etc.)
Do you have a separate bank account for your business?
No
Yes
Do you have inventory?
No
Yes
How much money have you put into the business?
Have you ever applied for a business loan?
No
Yes
Have you ever received a business loan?
No
Yes
If yes, please check from where:
Bank or Credit Union
Credit Card
Microlending Institution
Family or Friends
Other
What specific training or help do you expect to receive from the Community Business Academy?
Constructing your business model.
Establishing the initial set-up for your business (business entity).
Creating your marketing plan.
Accessing and improving your credit.
Obtaining financing for your business.
Establishing your business operations.
Determining a location for your business.
Hiring employees or staff
Accessing professional services (like bookkeeping, etc.).
Other
Please check all that apply.
Essay Questions
Please tell us about your business idea. Explain it briefly here.
Who will buy your product or services? How will you attract these customers?
Who are your major competitors? What makes your business different? (Please give 3 examples of competitors.)
Please describe why you decided to go into business.
Please describe your current goals for the business or business idea. What are you already doing to move forward with starting or growing your business?
What are the biggest challenges you may face on a personal level? How do you expect to overcome it?
Please include any additional comments.
Income Verification.
If the $250 registration fee would be a deterrent to your participation, you may fill out the following income verification form online here:http://sunshineenterprises.com/community-business-academy-application/income-verification-worksheet/Please include the required supporting documents along with the income verification form: • Proof of Current Personal Income • Proof of Current Household Income Income verification documents can include: W2, Payroll Stub, Benefit Letter/Documentation, Unemployment Documentation, Proof of Disability Payments or Personal Affidavit.
File Upload.
Drop files here or
Accepted file types: pdf, doc, jpg, gif, png.
You may upload up to 5 files or supporting documents