Applicant Information

Question Title

* 1. Applicant Name

Question Title

* 2. Address:

Question Title

* 3. Phone Number:

Business:

Question Title

* 5. Summary of Idea or Current Operations:

Question Title

* 6. How long has your business been operating?

Question Title

* 7. Who are your target customers?

Goals & Objectives

Question Title

* 8. What problem does your business solve?

Question Title

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

Question Title

* 10. How does it benefit Tepe Park?

Question Title

* 11. What are potential roadblocks?

Funding Request and Budget:

Question Title

* 12. Amount Requested

Question Title

* 13. How will funds be used?

Question Title

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

Sustainability Plan:

Question Title

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

Question Title

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

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

Question Title

* 17. Please attach a copy of your business plan:

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

Question Title

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

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

Question Title

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

Question Title

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

T