• EMPOWER by GoDaddy Kickoff Survey for Entrepreneurs

    Program Registration


    Please note this is not a loan application.

            

  • Are you an Alabama,Louisiana, or Georgia Small Business Owner?*
  • Did you attend a information session?
  • Would you like to sign-up for the Web Builder Virtual Bootcamp on Saturday, March 12th 9AM-4PM(CST). Upon completion you will receive 2-years of free web domain.
  • Which learning format would you like to attend for the Website Builder Series(Upon completion you will receive 2-years of free web domain)?
  • Which learning format would you like to attend for the Website Builder Series(Upon completion you will receive 2-years of free web domain)?

  • Empower bootcamp sign-up

  • We also invite you to apply to one of our other business development programs!

    https://jotform.com/trufund/programs

  • Personal Information

  • 1. Contact Information

  • State/Province*
  •  -
  • 2. What is your gender?*
  • 3. What is your ethnicity*

  • How did you hear about this program?*
  • 4. Is the head of your household?*

  • 1-Household Income Range
  • 2-Household Income Range
  • 3-Household Income Range
  • 4-Household Income Range
  • 5-Household Income Range
  • 6-Household Income Range
  • 7-Household Income Range
  • 8-Household Income Range
  • 9+-Household Income Range

  • Business Information

  • 0/70
  • 7. What industry best describes your business?*

  • 9. How many people do you currently employ (including the business owner if they take a salary/payfrom the business)?*
  • 10. What is the average annual revenue of your business?*
  • 11. Does your business utilize any of the following to connect with customers? (Select all that apply.)*

  • 12. Does your business have a website?*
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  • 13. If your business has a website, how many visitors do you get each month?*
  • 15. Do you use your website as a way of gaining revenue and attracting customers?*
  • 16. Does your business sell products/services online through your website, social media, or other channels?*
  • 17. How would you rate your overall tech savviness?*
  • Rows
  • 19. What part of your digital presence would you like to improve? (Select all that apply.)*

  • 20. How would you rate your level of confidence around digital marketing planning and implementation?*
  • 21. Do you feel that you will be able to update/complete your website by the end of this course?*

  • Sign and Submit

  • I hereby attest that all of the above information is complete and accurate to the best of my knowledge. I permit TruFund Financial Services or its agent the use of my name and address for TFS surveys and information mailings regarding TFS products and services. I understand that any information disclosed will be held in strict confidence. (TFS WILL NOT share your personal information to commercial entities.) In consideration of the counselor(s) furnishing management or technical assistance, I waive all claims against TFS personnel, and that of its resource partners and host organizations, arising from this assistance.

  • Self-Paced Course

    - I Understand I must complete the 5 online courses to receive access to the web domain or business email

    -I Understand I must attend a GoDaddy webinar

    -I understand I must complete all course evaluations.

    -I understand I must a complete the resiliency pre and post assessment. 

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