Hillman

 B2

A Concepts Agency

PROFESSIONAL BUSINESS PROFILE QUESTIONNAIRE
 

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This form will assist us in developing a comprehensive business plan for your current or developing company. You may submit the form upon completion, but payment is required before processing.

The Ownership

The Business

The Loan

The Financials
1. The Ownership:

*Business Name:      

(Note):  This section is duplicated for up to four owners.


OWNER #1

*First Name:     *Last Name:   Surname  

*Phone:      Fax:    *Email: 

*Marital Status: 

*Education Level:          Degree or Training Field: 
 

List up to three professional affiliations, organizations or trade groups that you are active in:
        


Briefly describe career & experiences (200 words max),
or you may choose to upload a resume prior to submitting this form.
Characters Remaining: 800


 

*Briefly describe your three year goal.
 If no more Owners proceed to end.


OWNER #2

*First Name:      *Last Name:   Surname  

*Phone:       Fax:     *Email:  

*Marital Status:   

*Education Level:          Degree or Training Field: 


List up to three professional affiliations, organizations or trade groups that you are active in:
       


Briefly describe career & experiences (200 words max),
or you may choose to upload a resume prior to submitting this form.
Characters Remaining: 800

Briefly describe your three year goal.
 If no more Owners proceed to end.


OWNER #3

*First Name:      *Last Name:   Surname  

*Phone:      Fax:    *Email:  

*Marital Status:  

*Education Level:          Degree or Training Field: 
 

List up to three professional affiliations, organizations or trade groups that you are active in:
       


Briefly describe career & experiences (200 words max),
or you may choose to upload a resume prior to submitting this form.
Characters Remaining: 800

Briefly describe your three year goal.
 If no more Owners proceed to end.


OWNER #4

*First Name:    *Last Name:      Surname  

*Phone:      Fax:    *Email:      

*Marital Status: 

*Education Level:          Degree or Training Field:  
 

List up to three professional affiliations, organizations or trade groups that you are active in:
       


Briefly describe career & experiences (200 words max),
or you may choose to upload a resume prior to submitting this form.
Characters Remaining:800

Briefly describe your three year goal.

 


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