Name of Company
*
Are you currently in business?
*
Yes
No
Business Start Date
NAICS Code (if known)
Description of Business
Name of Business Owner
*
Street Address
City
State
Zip Code
County
Anoka
Carver
Chisago
Dakota
Hennepin
Isanti
McLeod
Ramsey
Scott
Sherburne
Washington
Wright
Other
Business Phone
Business email adress
Business website
Do you want your business to be included in WomenVenture's online client business directory?
Yes
No
Type of Business (choose primary category)
*
Accommodation & food services
Administrative & support
Agriculture, forestry, fishing & hunting
Arts, entertainment & recreation
Childcare
Construction
Educational services
Finance & insurance
Health care & social services
Information
Management of companies & enterprises
Manufacturing
Mining
Professional, scientific & technical services
Public administration
Real estate
Retail Trade
Transportation
Utilities
Waste Management & remediation services
Other Services
Legal Entity
Sole Proprietorship
Corporation
LLC
S-Corporation
Partnership
Other
% Woman-owned
% Non-woman-owned
Do you conduct your business online?
Yes
No
Is your business home-based
Yes
No
Is your business 8(a) certified?
Yes
No
Is your business Women's Business Enterprise (WBE) certified?
Yes
No
Are you an exporter?
Yes
No
If yes, how many of your employees are involved in exporting
No. of Full-time employees
No. of Part-time employees
Total No. of employees
Average Employee Wage
Does your business offer health insurance to employees?
Yes
No
If so, does it offer it to all employees or only those meeting certain criteria?
All
Some
For the most recent full business year, what was your owner annual compensation or draw?
For the most recent full business year, what were your gross revenues/sales?
For the most recent full business year, what were your +profits/-losses?