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1. What is your first name?

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2. What is your last name?

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3. What is your phone number?

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4. What is your mailing address?

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5. At what email address would you like to be contacted?

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6. Company Contact Information:

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7. When was your business established?

Date / Time

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8. What is the legal structure of your business?

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9. Please list the types of certifications your businesses holds, and the names of the certifying organizations

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10. How many employees or contractors does your business employ?

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11. What was your business' total revenue in 2018?

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12. Does your business have current contracts of $200,000 or more for the next 12 months?

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13. Does business-to-business sales account for 50% or more of your total sales?

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14. Does your business have an operational financial management system?

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15. Are you a current or past participant in training and technical assistance programs of the following?

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16. Does your business have a membership with the following organizations?

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17. What products or services does your business provide?

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18. Are you able to commit to the 8 week training sessions? 
(Once a week for 2.5 hours for 8 weeks)

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19. What makes your company a good candidate to participate in the Inclusive St. Pete MBE Accelerator?

Thank you for taking the time to complete our application.
NOTE TO APPLICANTS: The completion of the application does not guarantee acceptance into the Inclusive St. Pete MBE Accelerator.


Your responses to this application will be kept confidential and anonymous. Your identity and private information will remain confidential which will only be reported in the aggregate. Information on individuals will not be shared.
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