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Export Indiana Accelerator Program (EIAP) Application
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1.
Business Name
(Required.)
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2.
Website URL
(Required.)
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3.
Years in Business
(Required.)
Less than a 1 year
1-2 years
3-5 years
5-10 years
10-15 years
More than 15 years
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4.
Number of employees
(Required.)
1-5 (Owner(s) counts as an employee)
6-10
11-25
26-50
51+
5.
Which of the following best describes your business's annual revenue?
Less than $50,000
$50,000 to $99,999
$100,000 to $499,999
$500,000 to $999,999
$1 million to $5 million
Over $5 million
Prefer not to answer
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6.
County of Operation
(Required.)
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7.
Key Contact (First + Last Name)
(Required.)
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8.
Key Contact Email Address
(Required.)
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9.
Key Contact Title
(Required.)
*
10.
Does the key contact have any exporting experience? (exporting experience is not required)
(Required.)
Yes
No
Other (please specify)
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11.
Business Description
(Required.)
*
12.
Key Industry(ies) and Product Mix
(Required.)
*
13.
Is this business an existing exporter?
(Required.)
Yes
No
Other (please specify)
14.
Current, if any, export markets:
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15.
Product or service you are interested in or currently exporting?
(Required.)
16.
Does your export product require an export license?
Yes
No
Unsure
Other (please specify)
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17.
Where is your product manufactured?
(Required.)
In the United States
In Indiana
Other (please specify)
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18.
What are you hoping to gain by participating in the Export Indiana Accelerator Program?
(Required.)
19.
Additional Comments