Step 1 of 14 7% Before you get started: You will be required to upload one document* that provides proof that you live in Cobb County, GA or a document that provides proof that your business is located in Cobb County, GA. Cobb County residents: You will need to provide one document that proves you currently live in Cobb County. This might be a document such as utility bill, a lease agreement, drivers license, etc. If you live with a Cobb County resident: You will need to provide one document that proves that the person who you live with lives in Cobb County. This might be a document such as utility bill, a lease agreement, drivers license, etc. Along with that, you will also need to submit a signed affidavit from that person affirming that you live with them. Please combine both those documents into one single file to be uploaded during the application process. Cobb County business owners: If you do not currently live in Cobb County, but you do business in the county, you will need to either submit documentation that proves that your business has a physical location in Cobb County such as a utility bill with the company name, lease agreement, etc. or upload a Cobb County or City of Mableton business license. Applicants must be at least 21 years old to be accepted. * These documents will only be used to verify proof of residence or proof of your business location. We will not share your documents with any third parties and will only store your files temporarily. Who referred you to the CCBB?Please include first and last name. If you do not know the last name, you may include their email. Are you an aspiring entrepreneur or do you have an existing business?(Required)ChooseI want to start a new business in Cobb CountyI have an existing business in Cobb County Name(Required) First Name Last Name Please make sure the name you enter matches the name on the document you supply.Phone(Required)Support via Text Yes, you may text me about technical support issues.We will not share your phone number with third parties. This will only be used in case we need to reach out to you for support issues.Email(Required) Do you self-identify as a part of any of the following minority groups?(Required)Please check all that apply Asian American Black/African American Disabled or differently-abled Hispanic, Latino, Brazilian LGBTQIA+ Live in a rural area Native American (American Indian or Alaska Native) Pacific Islander Persistent Poverty Religious minority Systematically denied economic, social or civic life opportunity Underserved Community Veteran Woman Business Name(Required)Business Idea(Required)Please describe the idea for your new business in as much detail as possible. Do you live in Cobb County, GA?(Required)ChooseYes, I own or rent a residence in Cobb County, GAYes, I live with someone who owns or rents a residence in Cobb County, GANoIf you live in Cobb County, GA, please upload one of the following documents: Utility bill with your name Mortgage bill with your name Lease agreement with your name Drivers License If you live with a Cobb County, GA resident, please upload one of the following documents: Utility bill with your name + an affidavit signed by them affirming you live with them Mortgage bill with your name+ an affidavit signed by them affirming you live with them Lease agreement with your name + an affidavit signed by them affirming you live with them Drivers License + an affidavit signed by them affirming you live with them Does your business operate in Cobb County, GA?(Required)ChooseYes, my business is located in Cobb County, GAYes, I have a Cobb County Business LicenseNoIf you work in Cobb County, GA, please upload one of the following documents: Cobb County Business License Business lease agreement Utility bill with your company name In order to qualify for a CCBB scholarship you must either live in Cobb County, GA, or your business must operate in Cobb County, GA. Upload Document(Required)Accepted file types: pdf, jpg, doc, docx, png, zip, Max. file size: 128 MB.If you have multiple documents, please combine them into one ZIP file or one PDF.Please make sure the address in the document you submit matches either the home or business address that you will enter on the next page. Home Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Terms and Conditions(Required) I agree to the Terms and Conditions.Certification(Required) I hereby certify that, to the best of my knowledge, the information I provided is true and accurate. How did you hear about us?Social media, google, discussion with CCBB team, community member, Cobb County referral, etc. Which best describes the current stage of your business?(Required)ChooseIdea/Concept StageStartup (Less than 1 year of operations)Early Growth (1-3 years of operations)Established Business (3+ years of operations)Scaling (Experiencing rapid growth and expansion)Other (please specity)Specify your current stage of business:What is your estimated annual revenue for this year?(Required)Choose$0 - $10,000$10,000 - $50,000$50,000 - $100,000$100,000 - $250,000$250,000 - $500,000$500,000 - $1,000,000$1,000,000+I'm not sureWhat are your top growth goals for the next 12 months? (Select all that apply)(Required) Increase revenue by a specific percentage or amount Hire more employees Expand product/service offerings Enter new markets Secure additional funding or investment Improve operational efficiency Other I don’t know yet Specify how much you wan to increase your revenue (percentage or amount)Specify how many more employees you want to hireSpecify any other goals you haveWhat are the biggest challenges or pain points your business is facing right now? (Select all that apply)(Required) Access to funding/capital Customer acquisition/retention Marketing and branding Operational efficiency (time management, supply chain, etc.) Hiring and talent management Technology and digital tools Legal/regulatory compliance Other I’m not sure what my challenges are yet Specify any current pain points to your business:What type of support or resources would be most helpful to your business right now? (Select all that apply)(Required) Access to funding/capital Business strategy and planning Digital marketing and social media Financial management and budgeting Legal and compliance advice Mentorship More people buying my product and service Networking opportunities Other I’m not sure Specify type of support or resources would be most helpful to your business right now:Which of the following resources or networks do you currently have access to? (Select all that apply)(Required) Business mentors or advisors Professional associations or networks Local business support organizations (e.g., Chamber of Commerce, SBDC) Investor networks or financial institutions I don’t currently have any business support networks Other I’m not sure Specify any other current resources or networks you currently have access to:What is the highest level of education you have completed?(Required) High School/GED Associate’s Degree Bachelor’s Degree Master’s Degree Doctorate/PhD Technical or vocational training I prefer not to say Other What are the most important outcomes you hope to achieve through this program? (Select all that apply)(Required) Increased revenue or profits Securing funding or investment Improved customer acquisition or retention Expanded business operations or products Increased brand awareness Personal development and leadership growth Building a stronger network of business contacts Other I’m not sure what success looks like for me yet Specify any other important outcomes you hope to achieve:When it comes to learning from and interacting with an online education community you:(Required) Take immediate action on what you have learned Share your experiences and inspire others Make steady progress at your own pace Observe and learn from other’s journeys Seek support when facing challenges Please share any other information or thoughts you think would be helpful for us to know about your business and how we can support you: Section BreakCreate your account password(Required) Enter Password Confirm Password Strength indicator Your password must be at least 12 characters long, and include at least one of each: uppercase letters, lowercase letters, numbers, special characters How to log into the community: After you press next, you'll be taken immediately to our online community's waiting page.There, you can start to familiarize yourself with the online community while waiting for our team to approve your documents. Once you are approved, you will have full access to all the spaces and courses in the online community.To access the community at a latter time, please go to community.theccbb.com and use your email and password to access the community.Your tier 2 member perks, will be available through the website once your membership is approved. You can see them by clicking on the login link on the top left of our website and entering your email and the password you created on the previous step. Δ
