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Momentum 360 Application - Fall 2019

  1. City of Durham_Program Logos and Logo Lockups Seperate_PMS-18

  2. Momentum 360 Program Application

    Fall 2019

  3. Instructions

    Please fill out this form as completely as possible, and sign and date the bottom of the form. Incomplete or invalid information will not be processed. The deadline to submit an application is October 1, 2019.

  4. PART A: BUSINESS INFORMATION

  5. Are you already in business and being paid for your product or service?

  6. PART B: ADDITIONAL INFORMATION

  7. Is your annual household income below $60,000?

  8. PART C: AGREEMENT AND SIGNATURE

    Applicants must attend 8 weeks (once weekly) of a small business course held at The Small Business Center at Durham Tech in downtown Durham. This is provided free of charge. Each class is 3 hours long, includes light dinner, and will be held on Tuesday evenings 6:30 pm - 9:00 pm in Fall 2019. The assignments are online so you need reliable access to a computer and can expect approximately 3 hours of homework each week. By submitting this form, I am agreeing that, if selected, I am able to attend 100% of these Tuesday night classes.

  9. Type applicant initials above.

  10. Leave This Blank:

  11. This field is not part of the form submission.