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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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*YesNoUnsureEmailThis field is for validation purposes and should be left unchanged. Δ
