Business Structure Implementation Program Interest Form First Name * Last Name * Your primary leadership role in the business * Example: Owner, Founder, CEO, Operations Manager Business Name * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming E-Mail Adresse * Phone Number * Website Years in Operation * Less than 1 year 1 to 3 years 3 to 5 years 5 to 10 years 10 or more years Number of Team Members (Including the Owner) * Count all individuals with defined roles in the business, including employees and independent contractors. The owner is the only team member 2 to 3 team members 4 to 6 team members 7 to 10 team members 11 or more team members In a few sentences, describe what your business does and who you serve. * Which areas of your business would you most like to organize or strengthen? * Check up to three Business records and documentation Financial tracking or financial organization Service delivery processes Team roles and responsibilities Client onboarding and communication General business organization Not sure yet This program requires participants to review their business operations and begin implementing systems over a three-month period. Do you feel you have the time and willingness to participate during this period? * Yes No Is there anything else you’d like to share? Einreichen