Small Business Management Application | Chemeketa Community College

Please fill out our online application.

Name
Email
Primary Phone

Note: Preferred format: 999.999.9999

Cell Phone

Note: If different than primary. Preferred format: 999.999.9999

Date of Birth

Note: Used for Chemeketa registration purposes.

Have you taken a previous class from Chemeketa under a different name, if yes, what?

Name
Email
Primary Phone

Note: Preferred format: 999.999.9999

Cell Phone

Note: If different than primary. Preferred format: 999.999.9999

Date of Birth

Note: Used for Chemeketa registration purposes.

Have you taken a previous class from Chemeketa under a different name, if yes, what?

Name
Business Description
Phone

Note: Preferred format: 999.999.9999

Website
Street Address
City
State
Zip
Entity Type
If other...
Start Up Year

Annual Sales (of previous December)
Annual Profit (of previous December)
Do you have an accountant?

Yes No

Do you have a bookkeeper?

Yes No

Do you have monthly financial statements?

Yes No

Do you use accounting software?

Yes No

What software suite?
What software Version?

Number of Full Time Employees (incl. owners)
Number of Part Time Employees

What are your top three business challenges?

What is your greatest business strength?
What keeps you up at night?

How did you learn about the SBM program?
Are you a current Chamber of Commerce Member?

Yes No

Are you part of Chemeketa's Accelerator Program?

Yes No

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