EmailMe Form - Next Level Creative Business Training

Name

First Last

Email

Phone

### - ### - ####

Business/Organization Name (if applicable)

Preferred Pronouns

Race/ Ethnicity

Do you identify as having a disability? (yes/no)

Are you a Veteran, Service-Disabled Veteran, Member of Reserve or National Guard? (yes or no)

Which of the following describes you:

	Select one
Currently generating revenue and would like to expand
Not currently generating revenue and would like to learn how

My goal(s) for this training are

	Select all that apply
Learn about the entrepreneurial network in this region
Meet other creative entrepreneurs
To be inspired
To feel supported in my creative work
Acquire business skills at a level that will assist my creative work