Growth Lab Intake Form

Growth Lab Intake Form

Help us customize your action plan by sharing your details and goals.
Contact Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Basics
Business Name
Business Website
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Business Stage

Other
Primary Business Goals (select up to 3)

Other
Government Contracting (GovCon) Status
Do you have a CAGE code?
Are you registered in SAM.gov?
List your primary NAICS code(s)
Briefly describe any past performance in government contracting
Biggest Challenges
Please select your biggest challenges (select up to 3)

Other
Services & Support Needed
Which services are you most interested in?

Other
What are your current business development needs?
Proposal/Bidding Readiness
Have you submitted a government proposal before?
How confident are you in preparing compliant proposals?

1

2

3

4

5

1 is Not confident, 5 is Very confident
AI/TechHerWay Interest
Are you interested in learning more about AI/TechHerWay?
Weekly Availability
What days are you generally available? (Select all that apply)
Preferred Communication Method
Readiness & Commitment
How ready do you feel to commit to your growth over the next 3 months?

1

2

3

4

5

1 is Not ready, 5 is Fully committed
Is there anything else you'd like us to know?
Should be Empty: