2025 Emerging Enterprise Center Application
I. APPLICANT INFORMATION
Information submitted will be held in confidence and used for purposes of evaluation for EEC admittance.
Business Name
Trade Name
Business License Registration #
Principal Officer and Title
Phone Number
E-mail Address
Website
Address Line 1
Address Line 2
City
State
Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
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
DC
Zip/Postal Code
What product or service does your business provide?
Brief Background of Principal Officers
Please list by name and title and attach resumes
Upload Pitch Deck (PDF)
Upload Company Logo (.PNG)
II. GENERAL DESCRIPTION OF BUSINESS
Company Form
Corp., Sole Proprietorship, LLC, etc.
Current Status of Business
e.g. working on prototype, product in advanced development, etc.
Date Business Established
Format: M/d/yyyy
Sales Revenue:
Current sales revenue per month
e.g. working on prototype, product in advanced development, etc.
Previous year sales revenue (annual)
e.g. working on prototype, product in advanced development, etc.
Projected sales revenue for next year (annual)
e.g. working on prototype, product in advanced development, etc.
Current Number of Employees:
This includes Principal Officer
Full-time employees
e.g. working on prototype, product in advanced development, etc.
Part-time employees
e.g. working on prototype, product in advanced development, etc.
How many employees do you expect to have in:
The Next 12 months?
e.g. working on prototype, product in advanced development, etc.
The Next 3-5 Years?
e.g. working on prototype, product in advanced development, etc.
Type of Financing Employed to Date
Personal Resources
Private Investors
Venture Capital
Institutional/Bank
Other
Financing Amount
Plans for Future Rounds of Financing
Do you have sufficient financing or product revenues to pay rent for six (6) months?
Yes
No
You can be expected to provide appropriate supporting documentation ( e.g. bank statements, financial records, tax statements)
Status of Business Plan
Business Plan Not Started
Business Plan in preparation
Business Plan completed and available for review
Do You Need Assistance?
Yes
No
III. USAGE OF INCUBATOR SPACE
Approximate Space Requirements:
The EEC offers a variety of offices sizes with space beginning at about 150sq. ft.
Do you have any particular space requirements?
If yes, please describe.
Do you have any particular requirements about phone and/or internet capabilities (e.g. bandwidth, server hosting, number of phone lines)?
If yes, please describe and provide technical specifications.
Please indicate any other special needs
Approximate date you desire to locate in the EEC
Format: M/d/yyyy
IV. CERTIFICATION AND RELEASE
Electronic Signature:
All of the statements made in this application are true, accurate and complete to the best of my knowledge. I understand that any false statement or material omission may lead to disqualification of this application, or eviction from the EEC program if admitted to tenancy.
I agree
Signature
Title
Date
Format: M/d/yyyy