Step 1 of 7 14% Intake Survey Looking to start a business but uncertain about the resources and tools you need for success? Take a few moments to fill out our Digital Assessment Intake Form to see if you qualify for up to $500 dollars in technology hardware (i.e. laptops, wifi hotspots, printers, etc.). Additionally, our team will work to put you in touch with the right business leaders and resources to help you start down the path of entrepreneurial freedom. *note: eligibility is based on a number of factors. Not all applicants will qualify. The exact hardware you receive will be determined based on your specific needs.First Name(Required) Last Name(Required) Phone Number(Required)Zip Code(Required)Email * If Applicable Are you currently running a business?(Required) Yes No What type of business? Do you run your business full-time?(Required) Yes No What else do you do? Though we wish we could provide low-cost technology to everyone, we focus our efforts on internet solutions and computer access for individuals who need it most. To shop with us, customers must be currently participating in a government-based assistance program or have a qualifying household income (less than 200% of federal poverty guidelines (see chart below) or 60% of area median income). Before completing your purchase, PCs for People requires photo identification and income documentation to ensure that customers meet our eligibility criteria. Do you meet PCs for People Eligibility requirements? Yes No DemographicsWhat gender do you identify as? Male Female Non-Binary Prefer not to say Please select all that applyPlease specify your ethnicity: Hispanic or Latino Not Hispanic or Latino Please specify your race: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Other/Unknown Please select all that apply TechnologyDo you have home internet?(Required) Yes No Who is your internet provider? Do you use a cell phone?(Required) Yes No Who is your cell service provider? Which device do you primarily use to run your business?(Required)Cell PhoneLaptopiPadTabletNone of the aboveTell us why? Do you have a website?(Required) Yes No Could you provide a URL? Do you have a business bank account?(Required) Yes No Business GeneralDo you have a mentor or are you working with an entrepreneur support organization like Prospect Business Association, SBDC, KCSourcelink, PorterhouseKC, Kansas City GIFT or ToolboxKC ?Anything exciting you’re working towards?What technology are you most interested in?(Required)LaptopWifi HotspotCell PhoneDesktop ComputerSecondary MonitorAll of the AboveWhat do you wish you had in your business? What’s missing? Other than funding, what is your biggest obstacle to making your business the best it can be?Rank the following in order of importance to your business becoming the best it can be?MarketingStartup FundingBusiness PlanTraditional Bank FinancingDo you have a business license? Yes No Didn't workHiddenSaved Recommendations