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COMPANY NAME: |
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OWNER/S: |
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EMAIL ADDRESS: |
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4. |
WEBSITE: |
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5. |
ADDRESS: |
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6. |
SSN: |
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7. |
HOME PHONE: |
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8. |
CELL PHONE: |
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9. |
SUITE NUMBER: |
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10. |
DEPOSIT CHECK # |
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11. |
Are you currently in business? |
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Yes
No
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12. |
Date this business began or planned start-up date: |
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13. |
If already in business, are you working: |
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Out of your home
Out of an office
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TYPE OF BUSINESS: |
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FORM OF BUSINESS |
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Proprietorship
Partnership
Corporation
LLC
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OWNERS/TITLES: |
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17. |
NUMBER OF PERSONNEL: |
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18. |
SPACE REQUIREMENTS (SQUARE FOOTAGE): |
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19. |
How do you see the Business Development Center assisting you? |
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20. |
Do you have a written business plan? |
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Yes
No
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21. |
Do you need assistance in preparing a business plan? |
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Yes
No
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22. |
In one brief paragraph, please give a description of your company: |
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23. |
INITIAL START-UP CAPITAL: |
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$0-$20,000
$21,000-$50,000
$51,000-$100,000
over $100,000
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24. |
What are the objectives of the business for the next two years? |
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25. |
ANTICIPATED MOVE-IN DATE: |
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26. |
Name, address and telephone number of first of three credit and/or personal references: |
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Name, address and telephone number of second of three credit and/or personal references: |
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28. |
Name, address and telephone number of third of three credit and/or personal references: |
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29. |
DATE APPLICATION COMPLETED: |
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30. |
List any flammable, volatile, toxic chemicals or other hazardous materials you propose to use on site at any time: |
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31. |
List details of your hazardous waste disposal methods: |
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32. |
All hazardous waste must be disposed of in accordance with Tennessee and Federal regulations. |
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