Southwest Florida Enterprise Center Business Development Program Application

Southwest Florida Enterprise Center Business Development Program Application
How did you find out about us? If you were referred please provide the name/entity
Type of Lease

Office SpaceIndustrial BayVirtual OfficeParking Space Rental
Client/Individual Information
Todays Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Owner Employment Status

Full-time employedPart-time employedFull-Time business ownerUnemployedContracted employee
Business Information
Business Name
Describe what services your business offers?
How long has your business been established?
Monthly Business revenue: $
Business website
How many clients do you estimate you have?
Do you have any employees? How many?
Are you registered with the State of Florida

YesNo
What type of support does your business need to continue to grow and expand?
What goals or expectations do you have while you are at the Enterprise Center?
Program Requirements Consent
Are you willing to commit to meeting with a Business Mentor on a monthly basis

YesNO
Are you willing to commit to following all City and SWFEC rules, policies and procedures for the entire time of your lease at the SWFEC.

YESNO
Are you willing to share your financial projections, profit/loss statements or basis bookkeeping with SWFEC staff. (All of your shared information will remain private)

YESNO
Are you willing to meet at least bi-monthly with SWFEC management to review your business progress?

YESNO
Please upload your business plan, business standing documents and any other important files to help the Staff understand where your business is and how to support it.

Cancelof
Consent to Share Information:

I, the undersigned, give consent for the sharing of the provided information with relevant agencies or organizations involved in the financial assistance process.
Date

MonthDayYear
Date
Signature

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Southwest Florida Enterprise Center Business Development Program Application

Client/Individual Information

Business Information

Program Requirements Consent