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MSB License Application
Makerspace Blueprint Licensing Application
1.
Enter your contact info
Your Full Name
Makerspace Name
State/Province
Country
Email Address
Phone Number
2.
Describe Your Role:
I am the Makerspace Owner
I operate / Manage a Makerspace
I am an Educator running a makerspace
I am an Administrator with oversight of a Makespace
3.
Describe your Makerspace
For-Profit Makerspace
Non-Profit Makerspace
Community College or University Makerspace
4.
Number of active members currently paying dues
0 - 29
30 - 50
51 - 100
101 - 250
251 - 500
500 - 1,000+
5.
What is your current MONTHLY revenue?
0 to $10,000
$10,000 to $25,000
$25,000 to $50,000
$50,000 to $100,000
$100,000 to $200,000
$200,000 to $300,000
6.
What is your TARGET monthly Revenue?
$10,000 to $25,000
$25,000 to $50,000
$50,000 to $100,000
$100,000 to $200,000
$200,000 to $300,000
$300,000 to $400,000
7.
What do you need the most help with right now?
Increase revenue
Better systems (operations)
Curriculum and Programming
8.
Are you willing and able to dedicate yourself full time to this program?
Yes
No
9.
Were you referred by a friend / individual / or Licensee? If so, please name them below.
