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* 1. In order to apply for admission to the GI Go Fund Veteran Business Incubator, please read the following information about the requirements and the criteria with which we choose Incubator clients.  If you feel that you meet the requirements and would like to apply to the program, below is a list of steps to be completed.  Please contact us at 866-389-4446 should you have any questions or wish to schedule an appointment to meet with the Program Manager and/or tour the facility.

MINIMUM QUALIFICATIONS FOR CLIENTS 
- The business must be wholly or greater than 51% owned by a military veteran.  

-  Prior to occupancy, applicants and businesses must comply, or agree to comply, with all applicable local, state and federal regulations and ordinances, including applicable environmental laws. 

-  Business must not require use of manufacturing or chemical production. All incubator space provided will be in an office building.

EVALUATION CRITERIA 
Applicants will be evaluated based on the following key criteria: 

-  Potential for business growth and job creation. 

-  A need for the services of the Incubator and a willingness to accept assistance when indicated. 

-  The ability of the business to help diversify the local economy. 

-  The viability of the business and its potential for success. 

-  The business’ marketing opportunities and approach. 

-  The business’ management team. 

-  Resources available to the business. 

-  Technologies appropriate to the business. 

-  The compatibility of the business with the Incubator program and facility. 


STEPS FOR CLIENT SELECTION 
-Complete the application and submit by one of the following: 


Mail or in person to:  
GI Go Fund
1 Gateway Center, Suite 760  
Newark, NJ 07102 
Email: james@gigo.org    
Phone: 866-389-4446 
Fax: 732-377-8032 

-   We will review your application and you will be notified if your business is eligible for consideration. An appointment will be scheduled for a site visit and to discuss your application. You will need to then submit a copy of your business plan, including financial statements.  If necessary, a second meeting will be scheduled to discuss the business plan.  Members of the Selection Committee will review the business plan and if the business meets the evaluation criteria, and a meeting with the Selection Committee may be scheduled.   You may be asked to meet with the Selection Committee at which time they may request additional information to establish or verify that the minimum qualifications are satisfied. You will be notified of their decision at the end of the meeting.

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* 2. Date

Date

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* 3. Personal Contact Information

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* 4. Website (if you do not currently have one, type n/a)

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* 5. Business Contact Address

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* 6. Is your business new or existing?

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* 7. If it is an existing business, how long has it been in existence?

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* 8. If this is a new business, what steps have you taken towards establishing your business? (150 words)

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* 9. Describe the stage of development your business is in at this time: (250 words or less)

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* 10. Ownership Type

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* 11. Names, addresses, phone numbers of additional principals, partners, or major shareholders:

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* 12. Briefly describe your business, its products and markets: (350 words or less)

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* 13. Describe your background or experience with the product/service of the business: (350 words or less)

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* 14. Do you have a product or technology that can be patented, trademarked or protected from duplication (if applicable)?

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* 15. Your reason for seeking entry into the program: (500 words or less)

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* 16. How much money do you have invested in this business?

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* 17. How do you intend to capitalize or finance this business? (500 words or less)

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* 18. Estimated number of employees at time of occupancy:

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* 19. Estimated number of employees after one year

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* 20. Two Years

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* 21. Three Years

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* 22. Do you anticipate your business having special facility needs (high voltage, refrigeration, special security, etc.)? If yes, please explain

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* 23. Do you expect to use any hazardous or toxic materials? If so, describe:

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* 24. Do you currently have the following? (Check all that apply):

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* 25.   Do you need assistance to create or complete your business plan?

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* 26. What are your business strengths? (150 words or less)

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* 27. What potential problems do you foresee in your business, and/or in entering your market? (350 words or less)

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* 28. Check areas of assistance your business needs beyond office space:

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* 29. Requested date of occupancy

Date

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* 30. Are you a Military Veteran?

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* 31. If not, are you the spouse, child, or dependent of a veteran?

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* 32. Did you serve in a combat theater?

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* 33. If yes, which one?

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* 34. What branch did you serve in?

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* 35. Date of Discharge

Date

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* 36. Type of discharge

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* 37. Please provide any additional information you feel is relevant (350 words or less):

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