Home Enrollment Form
Enrollment Form
First Name
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Last Name (*)
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 for student enrollment
email address (*)
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Current Grade Level
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City
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State (*)
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Zip Code (*)
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Are you a business owner? (*)
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 verification of being a business owner
What is the name of your business?
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What is the Web address of you business?(ex. http://www.myweb.com)
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What is your date of birth? format (ex. mm/dd/yyyy)
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 date of birth for the enrollment candidate
What is your state driver license number?
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 enrollment candidates state driver license number
Are you registered with the Small Business Administration (SBA)
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Are you registered with the Service Corps of Retired Executives(SCORE)?
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Are you searching for a grant
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Are you seeking a business loan?
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Why do you want to enroll in the DOEE Getters Academy? (short essay) 200 word max. (*)
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Do you wish to attend 2008 Venture Basics 101 course. (*)
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Please press here to complete submission process