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NXT | CLT Initiative Interest Form
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Email *
Today's Date *
MM
/
DD
/
YYYY
First Name *
Last Name *
Phone Number  *
LinkedIn *
Name of Company *
Link to your Website *
Company Address *
How long have you been in business? *
Type of Business *
Industry *
Briefly describe your business *
Is your business located in Mecklenburg County? *
What is your annual revenue? *
How many employees do you have? Must include yourself. *
Where do you feel you need the most assistance? (Check all that apply) *
Required
How did you learn about NXT | CLT Business Accelerator? *
Cohort "Business Owner Referral" name and Cohort number (If applicable)
On a scale of 1-5, how important is it for you to grow your business within Mecklenburg County? *
Not important at all
Extremely important
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