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Incubator Application
The SEG Incubator helps entrepreneurs turn ideas into action by providing practical knowledge and skills to plan and launch a business or nonprofit.
SEG 2024 Spring Incubator Schedule
Application Deadline: March 5th, 2024
Cohort Announced: March 19th, 2024
Workshops: April 9th - June 4th, 2024
Thanks for your interest in SEG’s Incubator Program!
We have a two part application process that consists of:
1. Filling out the application form
2. A short phone/video interview
Please click the link in the confirmation email to set up your interview.
Applications are accepted at any time during the year, but
screening is limited to the month before the application deadline.
If you have any questions, please reach out to Program Manager Akisch Lenus at
alenus@segreenhouse.org
.
First Name:
Last Name:
What are your pronouns?
He, Him, His
She, Her, Hers
They, Them, Theirs
My pronouns are not listed above.
My pronouns are:
Job Title:
Mailing Address:
Please provide a mailing address in case we need to send you course materials.
x
City/Town:
State/Province:
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Email Address:
Email Type
:
Please select...
Personal Email
Work Email
Alternate Email
Phone Number:
Phone Type
:
Please select...
Moblie
Home
Other
Are you over age 18?
Yes
No
This does not have an impact on your eligibility for this program.
Venture Questions
Name of your Venture / Business
(If your venture doesn't have a name yet, please write your name here):
If no name,
please
answer
N/A.
x
If your venture has a website please enter the link here:
Please list your venture's social media links here:
Please describe your venture idea:
300
characters
or less.
x
What/Who motivated you to start your own venture?
Please explain the need for this type of venture:
Why would you like to participate in the SEG Incubator?
What is the current stage of development of your venture?
Ideation (no revenue, business or organization is an idea, not yet in operation)
Start-up (some revenue, refining business model)
Established (solidified business model, scaling, expanding)
What types of support do you need to make your venture successful?
Access to a knowledgeable network
Mentorship from experts
Access to potential funders and investors
Peer support from a community of entrepreneurs
Credibility as an entrepreneur
Other:
Venture support other:
Does your venture fall into any of the industry clusters listed below?
Aging and Longevity
Design
Education
Environment
Food/Nutrition
Health and Wellness
Technology
Workforce Development
Venture doesn't fall into any of the above
Is your organization owned or led by a person who identifies with any of the following qualities?
Age 55 and over
BIPOC (Black, Indigenous, People of Color)
Formerly incarcerated
Has a disability
Immigrant/Refugee
LGBTQIA+
Student
Veteran
Woman
None apply
Individual Questions
To which gender group(s) do you most identify?
Female
Male
Nonbinary
Prefer not to say
My gender group is not listed above.
My gender group is:
To which ethnic/racial group(s) do you most identify?
Asian
Black or African American
Hispanic or Latino/a/x
Indigenous Peoples, First Nations, Native American, or Alaska Native
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White or Caucasian
Prefer not to say
My ethnic/racial group is not listed above
My ethnic/racial group is:
Are you the leader/owner of the venture?
Yes
No
What is the ethnicity/race of the venture's leader/owner?
Asian
Black or African American
Hispanic or Latino/a/x
Indigenous Peoples, First Nations, Native American or Alaska Native
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White or Caucasian
Prefer not to say
Ethnicity/race is not shown above.
We track this information because some leaders have historically had less access to capital and resources because of their race/ethnicity and it is part of our mission to change that.
x
Ethnicity/race of leader/owner:
Are you participating as an individual or as part of a team?
Individual
Team
Team Member
Please add the following information about your additional team member.
First Name:
Last Name:
What are your pronouns?
He, His, Him
She, Her, Hers
They, Them, Theirs
My pronouns are not listed above.
Their pronouns are:
Mailing Address:
City/Town:
State/Province:
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Email Address:
Email Type
:
Please select...
Personal Email
Work Email
Alternate Email
Phone Number:
Phone Type
:
Please select...
Mobile
Home
Other
Is this team member over 18?
Yes
No
To which gender group(s) does this team member most identify?
Female
Male
Nonbinary
Prefer not to say
Their gender group is not listed above.
Their gender group is:
To which ethnic/racial group(s) does this team member most identify?
Asian
Black or African American
Hispanic or Latino/a/x
Indigenous Peoples, First Nations, Native American, or Alaska Native
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White or Caucausian
Prefer not to say
Their ethnic/racial group is not listed above
Their ethic / racial group is:
If you have another team member to add, please click "add another response" below.
How did you hear about us?
Press
SEG Employee Referral
SEG Event
Social Media
Web
Word of Mouth
Other
Name of SEG Employee:
Other way to hear about us:
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Contact Information