Small Business Peer Accelerator

Application and Business Information

First Name

M.I.

Last Name

Title

Company Name (Legal Business Name)

Street Address

City

State

Zip Code

Phone Number

Website

What percentage of the business do you own?

What year was the business founded?

What year did you acquire ownership of the business?

Number of Full Time Employees

Number of Part Time Employees

Number of Temporary/Contract Employees

Current Year to Date

Current Year Projected

Last Fiscal Year

Fiscal Year Prior

How did you hear about Growth Solutions Team?

Briefly describe your business services and offerings:

Briefly discuss why you are interested in the Small Business Accelerator & what you expect to get from it:

How will it enable you to grow your business?

What are your business goals for the next 5 years?

How do you embrace and adjust to change?

Signature