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* 1. Applicant Name

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* 2. Address

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* 3. Is the applicant a for-profit organization?

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* 4. Number of employees

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* 5. Number of salaried employees

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* 6. Number of hourly employees

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* 7. Total sales / income from the preceding year?

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* 8. Industrial classification (two-digit SIC Code)

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* 9. Award Category

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* 10. Application Tier

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* 11. Please describe the nature of the applicant's business (products, services and technologies).  Who are your major competitors?

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* 12. Please describe the nature of major markets (local, regional, national, and international).  List all major customers.

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* 13. Is the applicant a subsidiary, business unit, or division of another Alabama organization?

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* 14. If yes, please complete the following for your parent organization:

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* 15. For subsidiary organizations of parent organizations, does the applicant comprise over 25% of the employees of the parent organization?

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* 16. For subsidiary organizations of parent organizations, does the applicant consist of more than 50% of the sales of the parent organization?

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* 17. For subsidiary organizations of parent organizations, has the subunit been in existence for at least three year?

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* 18. For subsidiary organizations of parent organizations, is the applicant's parent organization or another subunit of the parent organization intending to apply?

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* 19. Briefly describe the organizational structure and management links to the parent organization. (if applicable)

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* 20. For subsidiary organizations of parent organizations, do other units within the parent organization provide similar products or services?

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* 21. For subsidiary organizations of parent organizations, briefly describe the major business support functions provided to the applicant by the parent organization or by other units of the parent organization.

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* 22. Primary Contact Person

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* 23. Authorizing Official (if different from above)

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* 24. Submission of this form requires payment of the pre-application fee of $200.00.  Please mark below how you would like to pay this fee.

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