Take the Rebuild Program Application | Rebuild La Crosse

Thank you for your interest in the CO.STARTERS Rebuild program in La Crosse! Whether you’re a beginning entrepreneur or have had your own business for years, we are glad you are here.

To get started, we need a little information about you and your business so that we can get you going in the right direction.

Thank you for your application! We appreciate your patience while we review it and will be in touch soon with next steps. In the meantime, please reach out with any additional questions.

First Name *

Last Name *

Email Address *

Shipping Address *

The REBUILD program uses a physical workbook to help you visualize and brainstorm as you move through the course. We are asking for your shipping address now so we can get this to you as quickly as possible once you are accepted to the program.

City *

State *

Zip Code *

Phone Number *

Business Name *

Business Website

My business is currently... *

Open

Closed

Other

How did you hear about this program?

Which of the following best describes your annual household income?

There is a $30 registration deposit (to be refunded upon program completion). Are you able to pay this fee? *

Yes No

How has COVID-19 affected your business? *

Please tell us a little about why you want to participate in this program. *

Are you ready to commit your time and attention to work on your venture through CO.STARTERS Rebuild? *

To get the most out of the CO.STARTERS Rebuild program, you will need to participate in all 10 sessions, engage regularly with the materials, share insights and connections with your peers, and complete targeted "fieldwork" activities between group sessions.

You will need to be dedicated during the program and give an adequate amount of time to it.

Yes No