Thank you for your interest in Business Startup Bootcamp hosted by the South Valley BusinessSource Center

If you are NOT actively receiving any services from ICON CDC, please use this application instead: (Link)

Personal Information

First Name* Last Name*
Phone Number Email Address

Business Startup Bootcamp Assesment Questions

Tell us about yourself* Educational Background/Work & Business-related Experience*:
The training requires basic computer skills to complete assignments. Please describe your computer skills*: Give a description of your business or business idea*:
How soon do you plan to launch or relaunch your business? Where do you see your business in 3 years?*
What are three outcomes you expect from this training? Have you participated in any other business training programs? If so, when and where?
Describe a challenging situation you have faced recently and how you overcame it?



Referral Information

How did you hear about this program? Please specify the answer of the previous question
(e.g. if you were referred by the Worksource please specify which one)

Terms and Conditions*

By clicking here, I certify that all my answers above are true and correct to the best of my knowledge. I also agree that by accepting to receive assistance from the BusinessSource Center I will cooperate and provide the BusinessSource staff with all requested information and documents to verify the outcomes reported in compliance with CFR 570.506(b)(5) and (6).

* is a required field.


*Learn more about the funding regulations for Business Source, including CFR 570.506(b)(5) and (6). (Link)

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