I can find where to start or click the create button like my instructor said. This is what my screen looks like when I log into sales force and I have no clue what to do from here.

Sorry you're stuck but there's almost always a pretty easy fix! Do NOT try to start all over again, eg. uninstall Max's Pitch Package, etc. That can make things worse.
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post in the right category
INCLUDE AT LEAST ONE SCREENCAP IN YOUR POST TO SHOW THE PROBLEM!!!!!!!!
explain the problem clearly
he gave a pdf but it didn't show anything about the gears what do I do after I select set up because his instructions were to log in and then press the create button that I have no clue how to find
did your instructor give you the PDF that has the instructions in it? It should be labeled lab 1b. And the first step should tell you to click on the gear icon on the upper right and then select set up, so you can do that right from the screen that you’re showing.