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Self-Assessment Form & Action Plan
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Self-Assessment Form & Action Plan
Please indicate which one of the above referral agencies you would like to use:
________________________________________________________
First/Last Name: ________________________________________
1. Why are you interested in being self-employed
(Check the three most important points, in order of priority 1, 2, 3)
To be my own boss
To be independent
To work irregular hours
To work at home
To work in an area that I enjoy
To run a family business
To earn a good income
To continue to care for my
family while I work
To get off employment
insurance/welfare
Other reasons:
2. What help would you need in order to become self-employed
(Check (√) all that apply.)
Training in how to start
a business
Training in how to manage a
business
Training in a specific skill (explain):
Help in making business contacts
Help with building self-confidence
One-on-one business counselling
Personal counselling (family
problems, stress, etc.)
Help in finding money for start-up costs
Child care assistance
Continued financial assistance
while starting a business
Bookkeeping
Computer skills
Other reasons:. |
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