Individuals who are interested in starting a computer training and testing business should complete and submit the following inquiry form. All information will be treated confidentially.
How did you hear about the Fourth R? Internet Newspaper Magazine Referral Other please specify
Geographic area of interest:
Briefly list your educational background (school, degrees, etc.):
Have you ever owned a business before? Yes No If yes, please describe:
Have you filed for bankruptcy in the past 5 years? Yes No Do you have any pending lawsuits? Yes No Have you ever been convicted of a serious crime? Yes No
Amount of liquid capital available to invest: Under $50,000 $50,000 - $75,000 $75,000 - $100,000 $100,000 - $125,000 $125,000 - $150,000 $150,000 - $175,000 $175,000 - $200,000 over $200,000 Approximate net worth:
Do you plan on having a partner(s)? Yes No If yes, please describe:
How soon would you like to start? Within 3 months 3 to 6 months More than 6 months
