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San Diego YEP Registration Form

Submit the following form to register to participate in the Young Entrepreneurs Project.

First Name: *

Last Name: *

Address: *

City: *

Zip Code: *

Email: *

Age: *

Do you consider yourself someone who comes from a disadvantaged home?: *

Yes

Education Level: *

In High School

Completed High School

Enrolled in Community College

Enrolled in 4-Year University

Bachelors Degree

Masters Degree

Doctorate

Ethnicity: *

African American

Asian

Hispanic

Native American

Pacific Islander

White

Have you ever thought of self-employment as a viable career track?: *

Yes

Do you feel that you need to develop your life management skills in order to develop a viable business?: *

Yes

Life management means the ability to plan your time, plan how you will use your money, develop your ability to set goals, develop your ability to achieve your goals.

Do you feel you need to develop your problem solving skills in order to develop a viable business?: *

Yes

Problem solving skills means the ability to calmly and logically solve porblems in both your personal and professional life.

Do you feel you need more education to start a business?: *

Yes

Do you think further education will enhance your chances of entrepreneurial success?: *

Yes

How did you hear about this program?:

If you heard about this program through your school, please list school name.