FastTrac Application
Entrepreneur Personal Information
Your Name:
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
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Personal Email Address:
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Please enter an Email our Team can contact you at to Schedule a Meeting
Phone Number:
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Include Area and / or Country Code if applicable
Please upload a headshot
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Please write a short bio about yourself.
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0/75
Have you participated in any other business plan, incubator or other business development program?
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Yes
No
Which programs
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What do you hope to learn or get out of this program?
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0/50
Why should we accept you to the program?
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0/50
Business/Entity Information
Business Name
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Business Locations
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Business Logo
*
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Please write a short description about your business
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0/125
What products / services do you offer and/or manufacture?
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0/50
What makes your product/service unique?
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0/150
What problem are you solving?
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0/50
Describe your ideal customer.
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Age, gender, culture, etc.
0/50
What industry best describes your business?
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Business Services (Consulting, Staffing, Finance, Legal, etc)
Consumer Retail (Clothing, Goods, etc)
Food & Restaurant
Health, Medical or Fitness
Manufacturing/Construction
Technology (Hardware, Software, Service)
Other
Do you consider your business to be:
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Tech-Based
Place-Based
Both
What stage is your business in?
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Idea Stage: I am exploring Entrepreneurship and I am thinking about starting a business
Startup: I have some paying customers
Growing: I am generating some revenue. Help me quit my day job!
Scaling: I am working full time in my business and need to expand
Going global-soft landing
Other
How many employees do you have (including yourself)?
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Please include part-time/full-time
Is this a family business?
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Yes
No
Is your business currently operational?
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Yes
No
What were your sales revenues for the last fiscal year
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What are your most up-to-date sales for this fiscal year?
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If sales are 0, you may state that here
What trends have you seen that affect growth in your business?
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0/100
Do you advertise/market your business?
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Yes
No
How do you advertise/market?
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0/50
What are your Short-Term Goals for the business?
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0/75
What are your Long-Term Goals for the business?
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0/75
Do you currently have a business plan?
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Yes
No
Upload Business Plan
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What milestones have you achieved so far?
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0/75
Demographics to tailor our programs
Please select the Title(s) that best describes you
Mr. / Sir / etc.
Mrs. / Miss / etc.
Dr. / Rev. / etc.
Mx / No Title / other
Other
Please select the Ethnicity(ies) that best describe you
*
Asian
Native American/ Indigenous
Black
Swana
Caucasian
Prefer Not to Say
Hispanic
Other
Immigrated to the US?
Yes
No
Prefer Not to Say
Which generation emigrated to the US?
Myself, Parents, Grandparents, etc.
Highest Education level completed
High school diploma/GED
Bachelor's Degree
Some College
Master's Degree
Associates Degree
Doctorate
Other
Income Level
Under $10,000
$10,000 - $40,000
$40,000 - $85,000
$85,000 - $165,000
$165,000 - $210,000
$210,000 - $525,000
Over $525,000
Participation Availability
Please select the program location and schedule that works best for you (you can select all). All ISM Kauffman FastTrac programs will begin in September. Each cohort will:Meet once per weekInclude 8 total sessionsProvide access to open office hours for additional coaching, questions, and individualized supportPlease select the location and meeting time you are most likely to attend consistently for the full eight-week program.
Select which location you can or would like to attend. (You can select all)
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Oakland County
Wayne County
100 % online
Other
We meet once a week only. Select the best time(s) when you can or would like to attend. (You can select all)
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8:00 AM to 10:45 AM
11:00 AM to 1:45 PM
5:30 PM to 8:15 PM
Other
We meet once a week only. Select the best day(s) when you can or would like to attend. (You can select all)
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Other
Application Submission
By submitting this application, I agree that I will participate in the professional development program and am committed to not only receiving information but also sharing information.
Yes
No
Upon Approval
I am able to pay the up to $2,750 training investment
My organization will pay up to $2,750 in training investment
I will need a partial scholarship but am able to pay some of the program investment
I will need a full scholarship
Signature
*
Any additional thoughts or remarks that we should know?
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