University of Florida

1. Are you currently in business and have been in business for at least two years?

Yes
No 

2. If you answered “Yes” to question 1, indicate below the type of business you are (e.g. painting contractor, general contractor)? Is your business considered to be a part of the construction industry?
   
   Type:

Yes
No 

3. Are you familiar with the concept of business mentoring?

Yes
No 

4. Do you believe there are benefits to having a business mentoring program and that a need for mentoring of businesses exist in our community?

Yes
No 

5. If you answered yes to question 4, would you be interested in finding out about the business mentoring program being developed at UF?

Yes
No 

6. Would your company be interested in participating in a business mentoring program at UF, which could involve a significant time commitment by the CEO or President of your company, spanning over a period of twelve to twenty four months, including monthly meetings with required attendance?

Yes
No
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7. What areas would you like to see covered in the training/workshop sessions portion of the business mentoring program (e.g. insurance, bonding)?
   
   1.
   2.
   3.
   4.

8. Where is your business headquartered/located (City/State)?
   

9. The dollar amount of my company’s annual gross sales is:
   $0 - $24,999
   $25,000 – $99,999
   $100,000 - $299,999
   $300,000 - $599,999
   $600,000 - $1,000,000
   $1,000,000 - $5,000,000
   $5,000,000 - $14,999,999

10. As a means of determining the businesses that will be invited to the initial kick-off event and ultimately which businesses will be invited to participate in the business mentoring program, please provide a brief statement on "If and how you believe your business will benefit from a business mentoring program here at UF". Please be specific.
    

OPTIONAL:

Name:

E-mail:

Company Name:

Address:

City:   

State:    Zip:

Thank you for taking the time to complete this survey.