WilmingtonMADE Registration
This form and self assessment will take approximately 20- 30 minutes to complete. Please complete this form as accurately as possible so that we can learn more about about you and your business. The questions were developed to help us understand where you are within your entrepreneurial journey so that we can provide the best recommendations for resources and support to help you reach your goals. If you have any questions please contact Latisha Bracy at tish@wilmingtonalliance.org
CONTACT INFORMATION
Primary Owner's Name
*
Business Name
Your Email Address
*
example@example.com
Primary Phone Number
*
Format: (000) 000-0000.
Business Main Telephone Number
IF DIFFERENCE FROM YOUR PRIMARY PHONE#
Format: (000) 000-0000.
Business Website
Preferred Method of Contact
*
Phone
Email
Text Message
Where does your business primarily operate?
*
Home Based/Online
Commercial Property/Retail Space
CoWorking Office
Business Address (if you work from home use home address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DEMOGRAPHICS: We ask these question specifically on behalf of our funding partners to ensure we are equitable in serving entrepreneurs across the city and beyond. Your answers will be kept confidential.
Primary Owner Race/Ethnicity
*
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latinx
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Two or More Races
Other
Prefer Not to Answer
Primary Owner Gender
*
Please Select
Female
Male
Nonbinary
Prefer Not to Answer
Please select all that apply
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51% Minority Owned
Woman Owned
Veteran Owned
Disabled Owned
Other
Is your total household income under $58k per year? (Low to Moderate Income Households)
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Yes
No
What percent of your business serves/comes from Wilmington, DE?
More than 50%
Less than 50%
None
Please Select Your Industry Sector
*
Please Select
Arts, Culture, & Entertainment – Events & Performances
Arts, Culture, & Entertainment – Gallery
Arts, Culture, & Entertainment – Music
Arts, Culture, & Entertainment – Media/News
Construction & Home – Auto/Transportation
Construction & Home – Construction
Construction & Home – Home Maintenance
Construction & Home – Real Estate & Leasing
Creative Services – Photography/Design
Creative Services - Tattoo
Food & Beverage – Bars & Taverns
Food & Beverage – Cafés
Food & Beverage – Deli/Groceries
Food & Beverage – Desserts
Food & Beverage – Specialty or Ethnic Food
Food & Beverage – Vegan/Health Food
Food & Beverage – Other Food & Beverage
Health Care and Social Assistance – Counseling
Health Care and Social Assistance – Community Services/Non-Profit
Health Care and Social Assistance – Education & Training
Health Care and Social Assistance – Family/Child Care
Health Care and Social Assistance – Health Care
Professional Services – Finance
Professional Services – Laundry & Shoe Repair
Professional Services – Fitness
Professional Services – Technology
Professional Services – Translation Services
Professional Services – Other Services
Retail – Apparel & Accessories
Retail – Convenience/Discount Store
Retail – Cosmetics & Health
Retail – Printing/Mail
Retail – Other Retail
Salons & Barbershops – Barbershop
Salons & Barbershops – Hair/Beauty Salon
Salons & Barbershops – Nail Salon
Salons & Barbershops – Spa
Self Assessment
This self business assessment questionnaire is designed to help pinpoint areas in your small business, where positive change can lead to growth. The more information that you can provide, the more our team of business experts can understand your situation, your goals and how we can facilitate the necessary changes to help meet your goals and ultimately increase your business revenue.
Please Identify your Business Needs
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Quickbooks-set up, clean up or reconcile
I have a business idea and I don't know what to do next
Financial Planning
Establishing Standard Operating Procedures (SOP's)
Employee Management-Policy Handbook Creation, Job Descriptions,
Office Automation, Processes & Systems Development
Sales Strategy/Sales Funnel Creation
Executive Coaching (Networking/Branding/Leading Teams)
Website Development
SMART Goals/Growth Planning
Digital Marketing Strategy
Accounting and Bookkeeping
Briefly describe your most urgent business need:
*
What made you decide to become an entrepreneur?
*
OPERATIONS
How many employees does your business have?
*
Please Select
No additional employees
1-5 employees
6-10 employees
11 or more employees
How long has your business been in operation?
*
Less than 6 months
6 months to 2 years
3 to 5 years
6 to 10 years
11+ years
What documents, systems or processes do you already have in place regarding your requested backend support? What works well for your business? What does not work well?
*
Do you have a website?
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Yes
No
What website software do you use? (WordPress, Square Space, Wix etc.)
*
Who supports building and updating your website?
*
I don't have one
I update my own website
Hired Designer/Developer
I ask a friend to help me
I need my website updated
Other
What management software to you use for organization/admin/HR?
*
How do you keep your day/notes/requests/work organized?
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Pen/Paper
Free Calendar
Software/Apps (Slack etc)
Software Calendar
Other
FINANCIALS
Previous Year Business Revenue
*
$0 - $10,000
$11,000 - $25,000
$25,000 - $50,000
$51,000 - $100,000
$101,000 - $250,000
$251,000 - $500,000
$501,000 - $950,000
$1M or more
Do you have any business loans and/or business grants? If so, please describe.
What forms of payment do you accept?
*
Cash
Check
Credit Cards
ACH Payments
Apple Pay/Google Pay
Bit Coin
Subscription Payments
Other
What accounting and invoicing software do you use?
*
Do you have an accountant or use paid book keeping services? If so, describe
*
What kinds of financial reports do you generate on a regular basis? Check all that apply
*
Profit & Loss
Balance Sheet
Cash Flow
Budget
Projections
None
PRODUCTS & SERVICES
Please describe your business products or services
*
What is your unique market niche or why do people typically choose you over their other options? Do your customers clearly understand what specific points distinguish you from the competition?
*
Where are your customers located?
*
Family/Friends
Citywide
Local Neighbors
Countywide
Statewide
Nationally
Internationally
Have you ever surveyed or looked at feedback on how clients/potential clients view interacting with your business?
*
Yes
No
DOCUMENTS & DISCLOSURES
Please Select any additional Small Business organizations you are working with or have worked with in the past
Pete duPont Freedom Foundation
Small Business Administration
Small Business Development Center (SBDC)
Launcher DE / West End Neighborhood House
Delaware Prosperity Partnership
Women’s Business Center / True Access Capital
United Way Minority Business Program
Emerging Enterprise Center / New Castle County Chamber of Commerce
Delaware Black Chamber of Commerce
Other Chamber of Commerce
Other Business Accelerator
Wilmington Kitchen Collective
Other
Pitch or Business Plan Competitions
Please Upload Your Current Business Plan
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Choose a file
if you don't have a business plan, use this to upload any other business documents you would like to share
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Please Upload Your Business License
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Please Upload Your Business Logo
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Please Upload Your Headshot
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By submitting this form, we will automatically subscribe you to our e-newsletter and other program related email notifications that include information regarding upcoming events and announcements. You can unsubscribe at any time.
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I agree
I acknowledge that photography and/or video footage may be obtained by Wilmington Alliance during meetings and events for program marketing purposes and I give permission for my image to be used. I agree to allow my name and business to be included in, but not limited to, Wilmington Alliance's websites, social media and news releases.
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I agree
I recognize that Wilmington Alliance is a 501(c)(3) nonprofit organization and I am aware of the organization’s mission, vision and values. I understand that all vendors hired by Wilmington Alliance to provide services to my business are not direct employees of Wilmington Alliance, but are expected to fully represent the organization's mission. I am aware that the general data collected from services provided may be shared with affiliates of Wilmington Alliance including, but not limited to board members, staff, service providers and funders.
*
I agree
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