APPLICATION: Just Boss Up Academy Business Incubator Program
Please provide all required details to register to participate in an upcoming program with us
Business Owner
*
First Name
Last Name
E-mail
*
Contact Number
*
-
Area Code
Phone Number
Business Name
*
Business website address (If you dont have a website yet please share social media pages or pictures of product)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender Identity of Owner/Applicant
*
Male
Female
Transgender
Non-binary/non-conforming
Prefer Not to Say
Ethnicity Identity of Owner/Applicant
*
Hispanic
Not of Hispanic origin
Prefer not to say
Race Identity of Owner/Applicant
*
Asian
Black or African American
Native American
Alaskan Native
White or Caucasian
Native Hawaiian or Pacific Islander
Other
Age range:
18 or under
19-24
25-34
35-44
45-54
54+
Type of Business
*
Please Select
Service
Retail
Construction
Food Services/Hospitality
Healthcare/Social Services
Information Technology
Others, please specify below.
Others (please specify)
*
Please provide a brief description of your product,service or business.
What problem does your business solve?
Please describe your perfect customer.
When did you found this company?
Less than 6 months
6 months - 1 year
1-2 years
3-4 years
5+ years
Business Stage
*
Ideal/Planning stage
Startup: Less than 2 years in business
Existing: 2 years or more
Is your business currently generating revenue?
Yes
No
If no, tell us what steps have you taken to build your business and achieve revenue? (it's okay if you're not very far!)
What do you hope to gain from this program? Please share at least 3 things you believe you need support with.*
Please specify items you currently need help with establishing for your business (select all that apply)
*
Logo
Business Cards
Website
Business Bank Account
EIN Business ID
Registration with the state
Business Insurance
Business Plan
Other
If Selected for the program, are you able to spend 5-7 hours/week on your business (approx 2 in workshops with pre- and post- work)?
Yes
No
Class are held on Mondays and or Wednesdays evenings from 6pm-7:30pm for 10 weeks. Can you commit to that?
*
Yes
Maybe
No
Where would you like your business to be in the next 5 years?
Where did you hear about the Just Boss Up program?
*
GEDDI website
Facebook
Instagram
Linkedin
Word of mouth
Clubhouse
GEDDI Staff
Other
The new cohort will be June 21, 2023-August 28, 2023. Are you able to attend virtually?
Yes
No
Submit Registration
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