Certificate in Retail Operations Application

In the dropdown, choose one *

Please choose from the individual class or classes below. *

Name *

Address *

City, State, Zip *

Email *

Phone *

Cell *

Emergency Contact *

Relationship *

Phone/Cell *

Do you currently own a business? *

Yes
No

Do you operate a brick & mortar or online or both? *

Brick & Mortar
Online
Brick & Mortar and Online

Are you looking to operate a brick & mortar or online or both? *

Brick & Mortar
Online
Brick & Mortar and Online

What is the name of the business and how long have you been in operation? *

What type of retail business do you currently own? (boutique, pet store, coffee shop, etc.) *

What type of retail business do you plan to open? (boutique, pet store, coffee shop, etc.) *

Is this a "multi-layer" business model? (Amway, Avon, Mary Kay, etc.)?

Yes
No

What is your highest level of education? *

Please be aware there is no requirement that you have a high school diploma or GED to participate in our program. We simply would like to know something about the background of our participants.

How many years have you been in the industry? *

Please share with us the specific gifts, skills, and resources you have that you believe make you a successful retailer. *

Please share with us the specific gifts, skills, and resources you believe will help you be a successful retailer. *

What makes you want to be in the retail business? *

Do you have access to capital resources to invest into your business? *

Yes
No
Not applicable

How many hours do you expect to work in your retail store? *

What is your current occupation? *

Is this going to be a full-time job? *

Yes
No

What are your income goals and earning needs? *

Outline goals for Year 1, 2, and 3

What do you think your "Credit Score" would be today? Choose from dropdown. *

Would you consider yourself to be: *

Extrovert
Introvert
Traits of extrovert and introvert

Are you comfortable networking? *

Yes
No

Do you plan to organically start your business or franchise? *

Organic
Franchise
N/A

Would you consider this retail endeavor to be a: *

Hobby
Career
Post retirement activity
Family bonding experience

What benefits/take-aways are you seeking from the Certificate of Retail Operations? *

Are there any questions for us?

Checkboxes

Tuition for the Certificate in Retail Operations is $495 for the full Certificate and $85 per module. Tuition assistance is available for qualifying individuals. Please check the box to learn about tuition assistance options.
I authorize the Retail Alliance Foundation to release information contained in this form to my local Economic Development offices and funders for the purpose of attaining scholarships and incentives on my behalf.
By checking this box, I give permission for my photo and video recordings to be used for marketing purposes.

Please note:

The Retail Alliance Foundation does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.

Signature *

Date *

Please note:

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