FASTER WV Class Registration Form

Thank you for your interest in Advantage Valley's FASTER WV KAUFFMAN FAST TRAC Entrepreneurship Course! We are delighted you found us! * The next 3 Week Class has been scheduled to begin on Tuesday, March 25 and run through April 8, 2025 and be offered in Charleston, WV at the Kanawha County Public Library. This in-person class is offered from 5:00 pm - 7:00 pm. * After completing this registration, you will receive an email with further details and access to program materials. Please call your business coach, or Advantage Valley at (304) 352-1165, with any questions.

Name

Business Owner Full Name

Business Name

Street Address

City

State

Zip Code

Email address

Phone Number

In what county do you want to start a business?

Advantage Valley operates FASTER WV in these counties.

Boone County
Braxton County
Cabell Couty
Clay County
Jackson County
Kanawha County
Lincoln County
Mason County
Putnam County
Wayne County

Which Kauffman Fast Trac class are you registering for?

West Side Charleston - January 25 (Course completed)
West Side Charleston - August 22 (Course completed)
Upper Kanawha Valley - March 21 (Montgomery) (Course completed)
Upper Kanawha Valley - September 19 (Course completed)
Wayne - May 9 (Course completed)
Wayne - October 17 (Course completed)
Virtual - June 13th (Course completed)
West Side Charleston - August 22, 2024 (Course completed)
Upper Kanawha Valley (Marmet) - September 19, 2024 (Course completed)
VIRTUAL CLASS - October 10, 2024 (Course completed)
Downtown Charleston (Kanawha County) - March 25, 2025

Which FASTER WV Business Coach are you working with?

You will be assigned a coach at the end of the course, if you do not have one already.

Type of Business

Retail
Business Service
Restaurant
Manufacturing
Other

Provide a brief description of the business that is starting or expanding. Please be brief but informative.

{name}

Number of Employees

If you are the only employee, please enter 1...

Annual Revenue

If any yet...

Type of Ownership

Sole Proprietor
Corporation
LLC
I do not currently have a business license

Is your business...

Gender

Male
Female
Other

Ethnicity

White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Hispanic or Latino

Are you part of an ACT Now Accelerate Community?

Fairfield Community (Cabell County)
Town of Wayne (Wayne County)
West Side, Charleston (Kanawha County)
Mason County
Highlawn Community (Cabell County)
Madison (Boone County)
I am not part of any of these communities.

Today's Date

MM/DD/YYYY

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