Delgado CC - Cox Communications Small Business Growth Academy Registration and Assessment Form
Skip to content
Delgado Community College
Search the Site
Search
Mobile Navigation
Search the Site
Search
About
A to Z
Administration
Administrative Offices
Alumni and Giving
Careers at Delgado
College Directory
Community Partners
Contact Delgado
Events
Fast Facts
History
Locations
Mission, Vision and Values
News
Photo Gallery
Social Media
Delgado Pride News Radio Show
Admissions
Apply Now
Campus Visits
Dual Enrollment
Financial Aid
First-Time Freshman
Future Students
International Students
Returning Students
Military Personnel
Request Information
Transfer Students
Tuition And Fees
Academics
Academic Calendar
Academic Catalogs & Student Handbooks
Academic Divisions
Adult Education
Continuing Education
Course Schedule
Credit for Prior Learning
Honors Program
Important Dates (Academic Calendar)
Library
Louisiana Transfer Degree
Online Learning
Online Continuing Education
Programs of Study
Quality Enhancement Plan
Registrar
Workforce Development
Writing Center
Student Services
Advising
Answer Center
Bookstore
Campus Dining
Campus Police
Career Services
Center for New Student Engagement & Transition
Child Care Center
Current Students
Disability Services
Emergency Alert System
Financial Aid
Fitness Center
Registration
Single Stop
Student Accounts
Student Affairs
Testing
TRiO Student Support
Veterans' Affairs
W.I.S.E. Women's Center
Writing Center
Student Life
Athletics
Dolphin Radio
Drug and Alcohol Prevention
Health Services
Judicial Affairs
Student Government Association
Student Life Center
Student Organizations
Quick Links
Apply Now
Course Schedule
Register for Classes
Request a Transcript
Enrollment Verification
Future Students
Current Students
Faculty and Staff
Donate to Delgado
Email Login
Canvas Login
LoLA Login
Header Two
Home
Workforce Development
Small Business Centers
Cox Communications Small Business Growth Academy Registration and Assessment Form
Cox Communications Small Business Growth Academy Registration and Assessment Form
If you see this don't fill out this input box.
General Information
Business Name
*
Business Owner's Name
*
Business Address
*
Business Phone Number
*
Email Address
*
Business Website Address
*
Are you a current vendor of Cox Communications?
Yes
No
Are you a Cox Communications business customer?
Yes
No
Please select your service type.
Construction
Professional Services
Goods & Services
Please select your business structure.
Limited Liability Company
Corporation
S Corporation
Sole Proprietorship
Partnership
Cooperative
Please select the Parish(es) in which your business is domiciled.
*
Orleans
Jefferson
St. Bernard
St. Charles
St. John the Baptist
St. Tammany
Terrebonne
Tangipahoa
East Baton Rouge
Plaquemines
Other
If other, please specify.
Capacity
Does your business have a Federal Tax ID Number?
Yes
No
If yes, please enter.
Is your business registered to do business in the State of Louisiana?
Yes
No
Does your business have an Occupational License?
Yes
No
Does your business employ more than three full-time employees?
Yes
No
Has your business successfully completed five or more contracts as a prime contractor or subcontractor?
Yes
No
Is your business bonded and/or insured?
Yes
No
Does your business follow a defined set of procedures in its strategic planning process?
Yes
No
Does your business have a written mission statement?
Yes
No
Does your business have written long-term and short-term goals?
Yes
No
Does your business decide its strategic plan(s) based on feasibility and risk/return criteria?
Yes
No
What are your current needs for business assistance?
*
Areas of Leadership
Do you have a clear one, three, and five-year vision for your company?
Yes
No
Have you identified measurable goals that support your company's vision?
Yes
No
Certifications
Is your business certified as a State and Local Disadvantaged Business Enterprise (SLDBE)?
Yes
No
Is your business certified as a Disadvantaged Business Enterprise (DBE) minority business enterprise (MBE) through the Louisiana Unified Certification Program (LAUCP)?
Yes
No
Does your business hold any other certifications?
Yes
No
If yes, please list those certifications.
Form UUID
Site Name
Submit
Clear
©
