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BUSINESS INCUBATION ONLINE APPLICATION
Please complete all fields
Business Incubation Online Application
Company Name:
First Name:
Last Name:
Home Address:
City / State / Zip Code:
Business Phone:
Home Phone:
E-mail:
Highest Level of Education:
Please Select
High School
Junior College
College
Technical/Specialized
Some Graduate School
Graduate Degree
Currently employed:
Please Select
No
Yes - Part Time
Yes - Full Time
Self-employed
-- If Yes, Where?
Have you ever taken any business courses or workshops?
Please Select
Yes
No
If yes, please explain:
What type of business do you plan to start?
If starting a new business, do you have experience in that field?
Please Select
Yes
No
How long?
Not Applicable
1-3 Years
4-7 Years
8-10 Years
11+ Yrs.
What type of experience:
Have you ever owned a business?
Yes
No
Do you currently own a business?
Yes
No
If yes, how long?
1-3 Years
4-7 Years
8-10 Years
11+ Yrs.
Current number of employees:
Is your business legally established in the State of Florida?
Yes
No
If yes, Fictitious Name:
What year was it established?
Business Type:
Sole Proprietorship
Partnership
Limited Liability Company (LLC)
Type S Corporation
Type C Corporation
Non-Profit?
Yes
No
Do you have a valid County and City Occupational License?
Yes
No
Are you certified through any other agencies?
Please Select
MBE
Contractor/Builder
Other
Will your business need (check all that apply):
TED Center Office Space
Storefront
Warehouse
Other:
If other, please list:
Projected number of employees after working with the TED Center?
Number that can be hired from the target area?
Do you have a business plan?
Yes
No
Do you have a sales plan?
Yes
No
Do you have a written list of personal and business goals?
Yes
No
Have you prepared a proposed budget for your business?
Yes
No
Have you prepared a proposed budget for your personal finances?
Yes
No
How many hours a week can you commit to the TED Center Business Incubator developing your Business:
1 - 5 Hours
6 - 10 Hours
11+ Hours
What type of assistance are you seeking from the TED Center Business Incubator? Please Explain:
How did you hear about the TED Center Business Incubation Program?:
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