Entrepreneur Growth Lab Application - Mid-Hudson Entrepreneur Growth Lab Application - Mid-Hudson Please fill out the application below to be considered for our program.Name* First Last Best Phone Number to Reach You*Email* Home Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a Veteran?* Yes No How would you describe your current/planned working life?*In addition to starting/running my business, I have/plan to have a part-time jobIn addition to starting/running my business, I have/plan to have a full-time jobI work/plan to work only in my own businessDo you have a usable business plan?YesNoPartial, needs workAre you currently in business?* Yes No Business InformationCompany Name Business Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which of the following industry categories provides the best fit for your business/business idea?*Accounting/FinanceAdvertising/Public RelationsAerospace/AviationArts/Entertainment/PublishingAutomotiveBanking/MortgageBusiness DevelopmentBusiness OpportunityClerical/AdministrativeConstruction/FacilitiesConsumer GoodsCustomer ServiceEducation/TrainingEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareHospitality/TravelHuman ResourcesInstallation/MaintenanceInsuranceInternetJob Search AidsLaw Enforcement/SecurityLegalManagement/ExecutiveManufacturing/OperationsMarketingNon-Profit/VolunteerPharmaceutical/BiotechProfessional ServicesQA/Quality ControlReal EstateRestaurant/Food ServiceRetailSalesScience/ResearchSkilled LaborTechnologyTelecommunicationsTransportation/LogisticsOtherHow long have you been in business*Currently own a business that has been in operation for less than 1 yearCurrently own a business that has been in operation for 1 to 5 yearsCurrently own a business that has been in operation for more than 5 yearsIs your business currently making a profit?*YesNoUnsureHow many hours per week are you working in/on your business?* Please describe your business or business idea*What customer problem are you solving with your product/service?*What skills, talents, interests and passion provide you with the ability to solve that problem?*Why do you think people will buy it from you rather than from your competition?*Who is your competition?*Describe a typical customer for your product/service*Are there any resources available to you that you believe would help you with your business (i.e. family in the industry, strong community support, etc.)?*Which of the following aspects of being in business come most naturally to you?* Administrative & Operational Management Branding & Marketing Customer Service Financial Management Networking Product/Services Knowledge Selling Social Media Marketing Staff & Client/Customer Management Using Technology Which of the following aspects of being in business come least naturally to you?* Administrative & Operational Management Branding & Marketing Customer Service Financial Management Networking Product/Services Knowledge Selling Social Media Marketing Staff & Client/Customer Management Using Technology Technology SkillsPlease select your level of proficiency with the followingManaging files and folders*NoneBeginnerIntermediateAdvancedNot SureMS Word or Google Docs*NoneBeginnerIntermediateAdvancedNot SureMS Excel or Google Sheets*NoneBeginnerIntermediateAdvancedNot SureInternet*NoneBeginnerIntermediateAdvancedNot SureEmail*NoneBeginnerIntermediateAdvancedNot SureHow often do you use a computer*DailyWeeklyMonthlyRarelyNeverDo you have access to a computer*YesNoUnsureCommentsThis field is for validation purposes and should be left unchanged. Δ
