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NAME: |
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ADDRESS: |
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HOME PHONE: |
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OTHER PHONE: |
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5. |
BUSINESS NAME: |
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6. |
TYPE OF BUSINESS: |
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Manufacturing
Service
Distribution
Other
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FORM OF BUSINESS: |
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Proprietorship
Partnership
Corporation
LLC
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NUMBER OF PERSONNEL |
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OWNERS/TITLES: |
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ARE YOU CURRENTLY IN BUSINESS? |
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Yes
No
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DATE THIS BUSINESS BEGAN OR PLANNED START-UP DATE: |
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IF ALREADY IN BUSINESS, ARE YOU WORKING: |
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Out of your home
Out of office space
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SPACE REQUIREMENTS AND SQUARE FOOTAGE NEEDED(Ex. Office/Mfg): |
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HOW DO YOU SEE THE BUSINESS DEVELOPMENT CENTER ASSISTING YOU? |
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DO YOU HAVE A WRITTEN BUSINESS PLAN? |
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Yes
No
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DO YOU NEED ASSISTANCE IN PREPARING A BUSINESS PLAN? |
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Yes
No
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IN ONE BRIEF PARAGRAPH, PLEASE GIVE A DESCRIPTION OF YOUR COMPANY: |
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18. |
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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WHAT ARE THE OBJECTIVES OF THE BUSINESS FOR THE NEXT TWO YEARS? |
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ANTICIPATED MOVE-IN DATE: |
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(1) NAME, ADDRESS, AND TELEPHONE NUMBER OF CREDIT AND/OR PERSONAL REFERENCE: |
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(2) NAME, ADDRESS, AND TELEPHONE NUMBER OF CREDIT AND/OR PERSONAL REFERENCE: |
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(3) NAME, ADDRESS, AND TELEPHONE NUMBER OF CREDIT AND/OR PERSONAL REFERENCE: |
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24. |
DATE APPLICATION COMPLETED: |
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