Learn more about the Power Plant Business Incubator
For more information on programs and assistance, please fill the form out below.
Full Name
*
Email Address
*
Home Street Address
Home City Name
Home Zip Code
Phone Number
*
Do you have a Business? If so, How long have you been in Business?
Please Select
No Business
Idea stage
1 year
2 years
3 years
4 years
older than 5 years
Describe your business, what products or services do you create, offer, or sell? (N/A if no business)
Check what you are interested in learning more about here at the Power Plant Business Incubator
*
1 Million Cups Ocala
Kauffman FastTrac®
IMPACT Initiative Program
Data & Developers
Technical Assistance
Residency at the Power Plant
Other
Demographic Questions
In our efforts to ensure that everyone in our community is getting the resources & support available, please help us better identify all of our community members like yourself.
Income Level (combined annual income for ALL in household)
*
Less than $10,000 per year
$10,000 - $25,000/year
$25,000 - $50,000/year
$50,000 - $75,000/year
$75,000 or More/year
Prefer Not to Answer
Other
# of PPL in household
*
1 person
2 people
3 people
4 people
5 people or more
Home Zip Code
*
How do you Identify?
*
Male
Female
Non-Binary
Prefer Not to Answer (NA)
Other
Are you Hispanic or Latino?
*
Please Select
Yes
No
Prefer Not to Answer
Regardless of the prior question, please indicate how you identify yourself. (Select One or More)
*
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Multi-Racial
Other
Are you an Active Duty Member or U.S. Military Veteran?
*
Please Select
Yes
No
Are you currently Disabled?
*
Please Select
Yes
No
Prefer Not to Answer
Are you a member of the LGBTQ+ Community?
*
Please Select
Yes
No
NA / Prefer Not to Answer
Please verify that you are human
*
Submit
Should be Empty: