Applicant Information

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1. Applicant Name

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2. Address:

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3. Phone Number:

Business:

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5. Summary of Idea or Current Operations:

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6. How long has your business been operating?

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7. Who are your target customers?

Goals & Objectives

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8. What problem does your business solve?

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9. How does it benefit the wider community and region?

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10. How does it benefit Tepe Park?

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11. What are potential roadblocks?

Funding Request and Budget:

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12. Amount Requested

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13. How will funds be used?

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14. What do you hope to accomplish in the next 6-12 months?

Sustainability Plan:

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15. How do you plan to sustain and support your business?

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16. Please attach a copy of proof of LLC or similar business entity status:

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17. Please attach a copy of your business plan:

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18. Please attach a copy of Financial Forecast (at least 3 years):

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19. Would you like to be connected to business/entrepreneurial coaching?

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20. Would you be willing to share results in 6-12 months?

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