AchieveIt! A Mindset Reset Program

Thank you for your interest in AchieveIt!, a Mindset Reset program of the Neighborhood Development Center (NDC). All information provided will be kept in the strictest confidence by NDC. The information voluntarily provided will only be used to assist you and your business.

The purpose of this class is to learn how to set better business goals, take charge of your goals, and tie personal financial goals with your business. Class participants will be able to connect with like-minded entrepreneurs in this interactive workshop. Achieve It! offers the opportunity to take your business vision and goals and turn them into tangible tasks that are realistic with your personal life and business operations.

Please note, in order to be eligible for this class, you are required to complete this application.

Personal & Household Information

First Name

Middle Initial

Last Name

Home Street Address

Apt./Suite/Unit Number

Home City

State

Zip/Postal Code

What is the best phone number to reach you at?

What type of phone number is this?

What is your preferred email address

What type of email is this?

Race/Ethnicity

Gender

What is your household size?

What is your annual household income?

Business Information

Legal Business Name as registered with the Minnesota Secretary of State's Office (SOS):

Doing Business As (DBA)

Type of Business?

Business Street Address

Business City

State

Zip/Postal Code

Business phone number

Business email address

What stage is your business in?

Is there more than one owner?

Please help us understand what kind of product(s) or service(s) you provide:

Is running your business currently a part-time or full-time venture for you?

Please estimate your business's monthly sales average over the last year.

How many hours are do you currently spend on business development every month? ("business development" activities might include meeting with a business mentor, taking business training classes, strategic planning with a business advisor, etc.)

Achieve It!: A Mindset Reset Program Information

Please choose the session date that works best for you:

Why are you interested in attending Achieve It!? (Select more than one)

Please enter your own response to why you are interested in attached Achieve It!:

I agree to show up, participate, and maintain confidentiality at each Achieve It! session.

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Contact Information