Follow these three steps to register for the San Fernando Small Business Networking Expo:

  1. Register using the application forms below;
  2. Submit a copy of a Photo. I.D.* via email to info@iconcdc.org or fax to 818-894-8810 (You can also submit the photo I.D. when you visit our office).
  3. If you do not reside in the City of Los Angeles but are doing business in the city, please submit a copy of your Business Tax Registration Certificate.

After your complete enrollment, an ICON CDC consultant will follow up to confirm your attendance

Personal Information

* is a required field.

First Name* Last Name*
Address* City*
Zip Code*
Phone Number* Email Address*



Demographic Information

Date Of Birth* Gender*
Ethnic Group
Education Level*
Employment Status*
Family Size* Family Income*

Annual Income in 2016*



Business Information

Name of Business* Type of business*
Business Start Date* Business Partner
Business Form
Please check ONE of the business registration documentation held by your business
Business location*
If office/storefront, please type in your business address
Business Phone* Business Website
Are you operating this business full or part time?
How many employees are currently, or will be, working for your business?* (including yourself)
Are you seeking to hire additional employees? Are you planning a business closure?
Are you planning to lay off employees?
If yes to any or both of the previous two questions: How many employees are threatened by layoff/closure?
Please indicate your current monthly revenue (gross receipts)
Please indicate your annual Revenue (gross receipts) for 2015
Have you ever started/owned another business?
If yes, is it still operating?
Please describe the business and explain if it is no longer in business:
Are you in need of any of these assistance?*
List any other fields you might need assistance in



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.