TEC Program Intake Application

TEC Program Intake Application
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Name

First NameLast Name
Phone Number

Area CodePhone Number
I consent to receive messages from the Urban League.

YesNo
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What languages do you speak?

EnglishSpanishOther
What type of business do you have or plan on starting?

Retail (Selling products like clothing, personal care items, etc)Service (cutting grass, catering, barber, etc)I am not sure yetOther
Have you ever started a business before?

YesNo
Reason for starting business?

Be my own bossWork life balanceSupplement my incomeTo grow a large businessTo pass on to my familyNot sure yetOther
What program are you interested in?

Startup accelerator-0-2 years in business, developing a business idea, new business.Growth accelerator: 2-5 years in business, generating revenue, ready to grow business.Next level accelerator: 5 years plus in business, have employees, want to build capacity.
Startup Accelerator Questions
What type of business do you want to start?

RetailServiceOther
What type of product or service will you be offering?
Existing Business Questions

You may skip this section if you do not already have a business
What type of business do you have

RetailServiceOther
What year was your business established?
What is the legal form of your business

Sole proprietorshipPartnershipCorporationS-CorporationLLCNonprofitHave not selected the type of business yetOther
Where does your business operate from

I break my business from my homeI own an outside facilityI rinse space for my businessOther
You have a usable business plan?

YesNoI have been working on itOther
What are your plans for funding your business?

Self-fundedFriends and familyBusiness loanInvestment dollarsGrant fundingOther
Do you have a business license?

YesNo
Is your business registered with Secretary of State?

YesNo
Do you have a tax ID number for your business?

YesNo
You have a business bank account?

YesNo
What challenges are you facing?

FundingMarketingBusiness planOther
Additional comments
Should be Empty:

TEC Program Intake Application

Startup Accelerator Questions

Existing Business Questions