New Business Intake Form - *First Time Clients Only* Entrepreneurship Center @CTI
Please complete the form below to request more information.
Home Zip Code
Cell Phone (xxx) xxx-xxxx
Preferred Contact Method
Are you LGBTQ+
Prefer not to answer
What is your Race?
American Indian or Alaska Native
Black or African American
Native Hawaiian and Other Pacific Islander
Multi-race (two or more of the above)
What is your Ethnicity?
Hispanic, Latino or Spanish Origins
Not Hispanic, Latino or Spanish Origins
Do you describe yourself as an immigrant to the U.S.?
Are you a veteran?
Business Zip Code
Business Start Date
Website (or intended if not purchased yet)
Limited Liability Company (LLC)
Haven't started yet
Food & Beverage
Not For Profit
Business Facebook (or intended if not purchased yet)
Business Instagram (or intended if not purchased yet)
What Business Stage are you in?
Idea Phase (>1 year from starting a business)
Launch/Pre-Startup (>1 year)
Startup (Operating and generating some revenue)
Established (profitable and employing at least one FT person)
Do you have a completed business plan?
Do you have completed Cash Flow Projections?
How many employees do you have?
1 (You're a solopreneur)
What percentage of your business is woman-owned?
How much revenue did your business generate last year?
Choose the answer that best describes where you are in your journey
You're building the foundation of your business
You're no longer a rookie, but you still have a lot left to learn before you can reach your ultimate vision
You're passionate. You've already started growing your team. Now you're looking for that next step
You've accomplished everything you set out to do, and you're ready for new goals and new challenges
What ECenter programs are you interested in?
ECenter Business Coaching
How did you hear about us?
Please tell us, in your words, how we can support you to achieve your business goals?
What motivated you to open this business?
Is this business your main source of income?
What is your vision for the business moving forward?
Do you have access to a computer and necessary skills to run a business? (Microsoft Office, Quickbooks, other etc.)
Other business equipment
Documents for Assistance
Profit and Loss
Proof of Lease
Copy of Photo ID
Most Recent Personal Tax Return
Most Recent Business Tax Return (for established businesses)
Digital Development Plan