Epicenter's Online Intake Assistant

NOTE: Starting December 16, 2022, our offices will be closed to give our staff time to rest, reflect and recharge during the holiday season. We will resume processing intake submissions when we return to the office on January 3, 2023. 



This intake form will help our team gain a better understanding of you, your business, and your business needs. After you complete the questionnaire, Epicenter will connect you to resources that will help you meet your business goals.

Contact Information
(Please note that Epicenter supports for-profit ventures. For nonprofit resources, please stop this form and visit Momentum Nonprofit Partners to learn more about supports for nonprofits. momentumnonprofitpartners.org)
Epicenter is committed to making sure that the entrepreneurs we serve reflect the diversity of our city. The following demographic questions will help us identify and build resources to reach entrepreneurs in historically underserved groups.
Demographic Information
Business Details
Capital Needs
If your company is seeking capital, please complete the section below. If your company is NOT seeking capital, you may omit this section and proceed to the submit button.