TAP Client Application

1. Please provide your contact information.

First Name

Last Name

Company

Business Address Line 1

Business Address Line 2

Business City

Business State

Business Postal Code

Business Country

Contact Email

Business Phone

Business Website

Brief Business/Organization Description

Please choose the industry that best describes your business/organization

2. What do you sell?

Tangible Products ServicesBoth

Please describe what product or service

3. Where do you provide your service or sell your product?

Store Front or physical location Online Both

4. If you sell a product, are you a:

Wholesaler Direct to Consumer Both

Please explain

5. How long have you been in business? (If you are a non profit, how long have you been in existence?)

Less than 1 Year1-3 Years3-7 Years7-10 YearsMore than 10 Years

6.a. How many full-time employees do you have (including yourself)?

Enter numbers only

6.b. How many part-time employees do you have (including yourself)?

Enter numbers only

6.c. How many interns do you have?

Enter numbers only

7. What is the legal status of your business? If you are a non-profit, skip to Questions 9

Sole ProprietorPartnershipLimited Liability Company ("LLC")Corporation ("Inc.")

8. Please check the box for each year in which you made a profit, going back 3 years

Last yearTwo years agoThree years ago

8.a. Please provide an estimate for last year's revenues.

$0 - $10,000$10,000 - $25,000$25,000 - $50,000

$50,000 - $75,000$75,000 - $100,000$100,000 - $150,000$150,000 - $250,000$250,000 - $500,000$500,000 - $1,000,000Over $1,000,000

8.b. Please provide an estimate for revenues two years ago.

$0 - $10,000$10,000 - $25,000$25,000 - $50,000$50,000 - $75,000$75,000 - $100,000$100,000 - $150,000$150,000 - $250,000$250,000 - $500,000$500,000 - $1,000,000Over $1,000,000

9. What are your greatest STRENGTHS as a business owner?

BrandingFinancial ManagementOperational ManagementPeople ManagementProduct ExpertiseProduct ServiceSales ExperienceSocial MediaTechnologyOther

Please provide other strengths.

10. What are your greatest WEAKNESSES as a business owner?

BrandingFinancial ManagementOperational ManagementPeople ManagementProduct ExpertiseProduct ServiceSales ExperienceSocial MediaTechnologyOther

Please provide other weaknesses.

11. What are your greatest OPPORTUNITIES for business growth?

Financial ManagementOperational Efficiencies & Cost ControlsProduct DiversificationTapping New MarketsOther

Please provide other opportunities.

12. What are your greatest THREATS for business growth?

CompetitionCustomer SatisfactionFinancial ManagementHigh Operational ExpensesLack of Employee Stability Poor VisibilityStagnant SalesOther

Please provide other threats.

13. What are the top 3 guidance needs that your business has?

Goal Setting and PrioritizationMarketing - Branding and Analysis of Competition Marketing & Sales - Target new clients, new markets Time Management Financial - Revenues & Expense ManagementFinancial - Understanding Pricing and MarginsFinancial - Forecasting GrowthFinancial - Tools to support Access to Capital Operations efficiency/supportEmployee ManagementOther

Please provide any additional specifics about guidance desired.

14. How did you hear about TAP?

Bronx Community FoundationChase Coaching SessionsCommonwealth Kitchen (CWK)Community Capital NYHot Bread Kitchen (HBK)Hudson KitchenLive Oak BankPursuit TruFundFriend/NeighborPress (Newspapers, Radio, etc) Online SearchOther

Please specify.

15. Have you worked with other business mentoring/consulting programs in the last three years?

YesNo

If yes, please specify the name of the program.

16. Which of the following best describes your current situation?

In addition to running this business, I have a full time jobIn addition to running this business, I have a part time job I do not have another job outside this business

17. Is there any other critical confidential information we should know about your business/organization (problems with IRS, issues with licenses, permits, etc) that can affect the normal course of business

Contact Information