ACEnet Business Cohort Application



Separated by comma


Separated by comma


Separated by comma


Home, Work and/or Cell; Separated by comma


(if different)


Business Structure






Business Operations



Business Technology

General Computer Skills:


Have not used General knowledge Proficient

Have not used General knowledge Proficient

Have not used General knowledge Proficient

Have not used General knowledge Proficient

Have not used General knowledge Proficient


Demographic Information


We receive part of our funding from government grants that require us to demonstrate the impact of our efforts on the economy. The following questions serve as a basis for this determination. In the future we will be contacting you about how well you and your business are doing. Our continued funding depends on our ability to collect this information. All information will be kept confidential. We do not report individual data to any government or private agency. All reports are aggregated and anonymous. Answering these questions is strictly voluntary and exclusion of these questions will not determine your eligibility for the class. Thank you for your cooperation.



Including yourself

*Required