Client Intake

Page One
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Thank you for your interest in the entrepreneurship centre at Western University. In order to best serve your needs, and to comply with our government reporting requirements, we require the following information for our files.
3. Check which of the follow apply: *This question is required.
4. Are you a *This question is required.
4. Are you an international student? *This question is required.
7. Company logo?
9. Enter the current annual revenues for your business *This question is required.
10. Please enter the number of people involved, and their current status *This question is required.