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Certification Assessment

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Name *

First

Last

Email *

Company Name *

Legal Structure *

Year Company Began *

Number of Employees *

List All Business Lincences and Certifications *

Type of Certification Requested *

Certification Goals *

Describe your short term goals once *

Describe your long term goals once certified *

For what industries does your company provides goods/ services? *

What is your company's primary good/ service? *

What is your company's core business model? *

List your major customers *

List major competitors in your industry *

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