Registration

Business Resource Fair (Q3)

Wednesday, April 05, 2023 12:00 PM to 7:00 PM Eastern

Location: 5800 Faringdon Pl., National Institute Building Level 1 (Downstairs)

Facilitated by Women's Business Center of North Carolina

Please answer the following questions regarding your existing or planned business.

First Name
Last Name
Zip Code	Enter your 5 digit Zip Code. If you don't have one or don't know your zip code, enter 00000

Business Name	Leave blank if you do not have a name chosen or the business name is the same as your name.
Position	Your position or title related to this business
Address	Your physical street address (number and street) of the business. If a home based business, or the business has not started yet, use your home address.
Address Line 2	Optional. Use for additional address postal information like apt, floor, suite, etc., or a PO Box.
City
State	(Select) Not Applicable AA Armed Forces AE Armed Forces Alaska Alabama AP Armed Forces Arkansas American Samoa Arizona California Colorado Connecticut District Of Columbia Delaware Florida Federated Micronesia Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Marshall Islands Michigan Minnesota Missouri Northern Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Palau Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming

Please enter contact information regarding this business so that we may contact you if necessary

Primary Phone	The best phone number (with area code) to reach you during our standard business hours. Include extension if necessary.
Primary Phone Type	Work Home Mobile Type of the primary phone above
Secondary Phone	A secondary phone number to contact you, if we cannot reach you at the primary number.
Secondary Phone Type	Work Home Mobile Type of the secondary phone above
Web Site	Web site URL for the business
Business Description	Brief three to five word description of the business

Please answer the following demographic questions about yourself.

Race	White Black Asian Native American/Alaskan Hawaiian/Pacific Check any that apply
Hispanic Ethnicity	(Select) No Yes No Reply
Gender	(Select) Male Female No Reply
Disability	(Select) No Yes No Reply Do you consider yourself a person with a disability
Military Status	(Select) None Veteran Service Disabled Veteran No Response On Active Duty Member of National Guard Member of the Reserve Spouse of Military Member Unknown/Not Stated

Business Status

Business has started Check if you have started conducting business. Leave unchecked if you are in the planning stages and have yet to start this business.

Since this business has started, please enter the following information. Year Started Year this business started Month Started 1 January 2 February 3 March 4 April 5 May 6 June 7 July 8 August 9 September 10 October 11 November 12 December Month this business started Business Type (Select) 11 Agriculture, Forestry, Fishing and Hunting 21 Mining 22 Utilities 23 Construction 31 Manufacturing 42 Wholesale Trade 44 Retail Trade 48 Transportation and Warehousing 51 Information 52 Finance and Insurance 53 Real Estate and Rental and Leasing 54 Professional, Scientific, Technical Services 55 Management of Companies and Enterprises 56 Administrative and Support 61 Educational Services 62 Health Care and Social Assistance 71 Arts, Entertainment, and Recreation 72 Accommodation and Food Services 81 Other Services (except Public Administration) 92 Public Administration Primary category of business Female Ownership % % Enter the percent female ownership for this business. Business Online Yes If business is conducted online Home Based Business Yes If business is home based 8(a) Certified Yes If you are currently 8(a) certified.

Business Organization	(Select) Sole Proprietorship Partnership Corporation Undecided S Corporation LLC Legal entity of the business
Employees FT	Current Number of Full Time Employees
Employees PT	Current Number of Part Time Employees
Annual Sales $	Annual Sales $ for the most recent full business year
Are you currently exporting	Yes
Export Employees Current Number of Total Export Related Employees Export Sales $ Export Related Sales for most recent full business year Export Countries Countries you are currently exporting to. Start typing the name of the country and a list will appear to choose from. You may select more than one.

How did you hear about us?	(Select) SBA Web site SBA District Office Lender Business Owner SBDC USEAC SCORE WBC VBOC B2B Other Client Educational Institution Local Econ. Dev. Office Chamber Of Commerce Magazine/Newspaper Word of Mouth Television/Radio Internet Other
Other Event & Workshop Interests	Please check any topics you are interested in

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The National Institute of Economic Development Women's Business Centers are funded in part through a cooperative agreement with the U.S. Small Business Administration and are members of the Association of Women's Business Centers. The Women's Business Center of Charlotte is funded in part through a cooperative agreement with the City of Charlotte.

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