Scalerator NEO 2021

Application

Thank you for your interest in being a part of the Scalerator NEO program. Please fill out the following questions to help the Selection Committee evaluate your company's qualification to be part of this proven program that can deliver immediate growth into your business. All information in this application will remain confidential. Learn more, visit www.ScaleratorNEO.org.

Question Title

* 1. Provide a brief description of your business. What product(s) / service(s) do you sell?

Question Title

* 2. Is your venture primarily business-to-business (B2B) or business-to-consumer (B2C)?

B2B

B2C

If B2B, how many customers do you have? (Estimate only.)

Question Title

* 3. Approximately what percentage of your revenues does your largest customer represent over the last 12 months? (Numbers only.)

Question Title

* 4. Describe your major customer profile in a few phrases or sentences.

Question Title

* 5. Personally, how high a priority is growing your top line sales in the next 1 to 3 years?

Very High

High

Moderate

Low

Question Title

* 6. State your company’s actual or expected revenue to the nearest million ($) - or use 9 or 10 digits. (Numbers only.)

2019 (actual)

2020 (expected/actual)

2021 (expected)

Question Title

* 7. Do you sell outside of the Northeast Ohio region?

Yes

If yes, what % of your revenues are from outside the region? (Estimate. Numbers only.)

Question Title

* 8. Do you export outside the U.S.?

Yes

If yes, what % of your revenues are exports? (Estimate. Numbers only.)

Question Title

* 9. How many full-time equivalents (FTEs) do you have? (Numbers only.)

Question Title

* 10. Do you make use of a Board of Directors and/or Advisors?

Yes

If yes, share how they are involved in your operations.

Question Title

* 11. Briefly describe your organizational structure. Include names and titles of your top executives.

Question Title

* 12. Do you have a specific written plan in place to grow significantly in the next 12 months?

Yes

If yes, when was it completed?

Question Title

* 13. What are the three biggest obstacles or challenges you will face in growing your company?

Obstacle #1

Obstacle #2

Obstacle #3

Question Title

* 14. List the most important resources, help or areas of advice you will need to achieve your growth ambitions.

Resource #1

Resource #2

Resource #3

Question Title

* 15. Specify the ownership % of the top shareholders, including that of the President / CEO.

Question Title

* 16. Is your business minority-, woman-, and/or veteran-owned or led (regardless of certification)?
Note: Your answer to this question will not affect your selection into the Scalerator Program.

Minority-owned

Woman-owned

Veteran-owned

None

Question Title

* 17. Provide the following contact information:

First Name

Last Name

Job Title

Company Name

City

Work Phone

Mobile Phone

Email Address

Company Website

Any business courses or degrees completed? (optional)

Question Title

* 18. How did you hear about Scalerator NEO?

Burton D Morgan or Fasenmyer Foundation

ScaleratorNEO Web Site

Email notice

Referral / Word of Mouth

Media

If referral/word of mouth, specify from whom. If other means, please share.

Question Title

* 1. Provide a brief description of your business. What product(s) / service(s) do you sell?

Question Title

* 2. Is your venture primarily business-to-business (B2B) or business-to-consumer (B2C)?

Question Title

* 3. Approximately what percentage of your revenues does your largest customer represent over the last 12 months? (Numbers only.)

Question Title

* 4. Describe your major customer profile in a few phrases or sentences.

Question Title

* 5. Personally, how high a priority is growing your top line sales in the next 1 to 3 years?

Question Title

* 6. State your company’s actual or expected revenue to the nearest million ($) - or use 9 or 10 digits. (Numbers only.)

Question Title

* 7. Do you sell outside of the Northeast Ohio region?

Question Title

* 8. Do you export outside the U.S.?

Question Title

* 9. How many full-time equivalents (FTEs) do you have? (Numbers only.)

Question Title

* 10. Do you make use of a Board of Directors and/or Advisors?

Question Title

* 11. Briefly describe your organizational structure. Include names and titles of your top executives.

Question Title

* 12. Do you have a specific written plan in place to grow significantly in the next 12 months?

Question Title

* 13. What are the three biggest obstacles or challenges you will face in growing your company?

Question Title

* 14. List the most important resources, help or areas of advice you will need to achieve your growth ambitions.

Question Title

* 15. Specify the ownership % of the top shareholders, including that of the President / CEO.

Question Title

* 16. Is your business minority-, woman-, and/or veteran-owned or led (regardless of certification)?Note: Your answer to this question will not affect your selection into the Scalerator Program.

Question Title

* 17. Provide the following contact information:

Question Title

* 18. How did you hear about Scalerator NEO?

Question Title

* 19. Other comments or questions. (Optional)

* 16. Is your business minority-, woman-, and/or veteran-owned or led (regardless of certification)?
Note: Your answer to this question will not affect your selection into the Scalerator Program.