Applicant Information

First name

Last name

Business Name

Legel Entity Type

Phone

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

County

Percentage of Ownership

Other Owners (if applicable)

Ethic Background

East Asian

Southeast Asian

other Asian descent

Business Information

Brief Description of Your Business

Year Established?

NAICS Code (if known) or Industry

Number of Employees including yourself

Diverse Supplier Certifications (if applicable)

Business Website/Social Media Links (if applicable)

Program Motivation

Why do you want to join the WCCC Business Development Program?

What are the main challenges your business is currently facing?

What do you expect to gain from this program?

Planned Job Creation

Areas of Focus

Program Commitment

Can you commit to participating in group sessions and individual consultations over the 3-month program?

Are you open to collaborating with other businesses in focus groups?

Photo & Media Consent

Photos and videos may be taken during this session and used in WCCC’s social media, website, and promotional materials.

If you prefer not to be photographed, please let a staff member know.

Agreement and Signature

I confirm that the information provided is accurate, and I agree to participate fully in the WCCC Business Development Program.

Signature

Signature field is empty.

Date