Small Business Management Application reCaptcha V3

Please fill out our online application.

Owner/Applicant

Name

Primary Phone

Note: Preferred format: 999.999.9999

Cell Phone

Note: If different than primary. Preferred format: 999.999.9999

Date of Birth

Note: Used for Chemeketa registration purposes.

Have you taken a previous class from Chemeketa under a different name, if yes, what?

Second "Key" Person (if applicable)

Name

Primary Phone

Note: Preferred format: 999.999.9999

Cell Phone

Note: If different than primary. Preferred format: 999.999.9999

Date of Birth

Note: Used for Chemeketa registration purposes.

Have you taken a previous class from Chemeketa under a different name, if yes, what?

Name

Business Description

Phone

Note: Preferred format: 999.999.9999

Website

Street Address

City

State

Zip

If other...

Start Up Year

Accounting

Annual Sales (of previous December)

Annual Profit (of previous December)

Do you have an accountant?

Yes No

Do you have a bookkeeper?

Yes No

Do you have monthly financial statements?

Yes No

Do you use accounting software?

Yes No

What software suite?

What software Version?

Employees

Number of Full Time Employees (incl. owners)

Number of Part Time Employees

What are your top three business challenges?

What is your greatest business strength?

What keeps you up at night?

How did you learn about the SBM program?

Are you a Veteran or a Chamber Member?

Yes No

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Small Business Management Program Application

Submission Error: Please review and correct the following issues.

Applicant Information

Owner/Applicant

Second "Key" Person (if applicable)

Basic Business Information

Administrative Details

Accounting

Employees

Some Background Info

Program Details