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2. 
4. Participant Information

   We're pretty excited to watch you transform your idea to reality, grow your business, or even just think about how you can make it happen. To help us better plan for who's attending, please complete the following information. 

6. Name*
8. Street Address*
9. City*
11. Email Address*
    (We need to send you some pretty important info...)
12. Phone Number*
    (In case your email doesn't work... it happens...)
14. Tell us why you're interested in participating in this program.*

    1. I am interested in starting my own business
    2. I currently own a business and want to see what i'm missing
    3. I have owned a business in the past and am interested in starting another one
    4. I am not sure, but i'm intrigued
16. What kind of business do you have, or would you like to open?*
    The sky's the limit, so dream big! (And we won't tell...)
18. Are you interested in applying for the grant to help towards opening a storefront in Monticello?*

    You don't have to live here to have a business here, and as always, we won't hold you to your answer today...

    1. YES, I am SO ready!
    2. Ummm.. maybe?
    3. no No NO!
20. Electronic Signature*
    By typing your name, you are stating that the information provided is correct to the best of your ability.
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field