Cambridge Entrepreneurship Assistance Program Application Form
The City of Cambridge Entrepreneurship Assistance Program is a collaboration between The Capital Network and the City to provide training to Cambridge early-stage entrepreneurs.

The Capital Network (TCN) provides fundraising education to entrepreneurs through workshops, panels, bootcamps, and office hours. The Capital Network's programs are designed to incorporate the guidance of many former or current entrepreneurs and members of angel groups and venture capital firms, the majority of which are located in the New England area. The workshops and other programming are provided on a rolling schedule and workshops are kept small for entrepreneurs to ask questions for his or her business and funding needs. TCN offers a six month membership which gives you access to these programs for free during your membership, as well as the chance to participate in a members only pitch workshop with investors and experience entrepreneurs at the end of your six month membership.


The Cambridge Entrepreneurship Assistance Program provides six (6) HUD eligible Cambridge early-stage entrepreneurs with for-profit companies in the clean energy, consumer products, high tech, and life sciences clusters with the opportunity to participate in the local entrepreneurial community. To check your eligibility and learn more about the Program here: https://www.cambridgema.gov/CDD/econdev/lifesciencesandtechnologybusinesses/cambridgeentrepreneurshipassistanceprogram.

Please contact Bonnie-May Shantz - bshantz@cambridgema.gov or 617-349-4654 with any questions on this form or eligibility status.

Applications and spots will be taken first come, first serve. Rolling applications will be taken until May 1, 2020.
Sign in to Google to save your progress. Learn more
Business Name *
Applicant Name *
Phone *
Email *
Company URL *
Applicant's Home Address *
Applicant's Business Address *
How many employees (including the owner) does your business have in Cambridge? *
Please clarify how many are full-time and part-time employees. Example: 2 PT, 3 FT
Total number of members in your family* *
*Definition of family is all related, immediate family members living in the same household
What is your combined gross annual income of your family *
This information will not be disclosed to anyone. This is for federal grant requirements only.
Ethnicity and Race *
Please check all that apply to you.
Required
Do you have a DUNS number for your business?
B. If  NO, please request a DUNS number for your business and send the assigned number to Bonnie-May Shantz, at bshantz@cambridgema.gov. Follow the instructions on the attached D-U-N-S Number Information Sheet. Please note that applications may be submitted prior to obtaining a free DUNS number. More at: http://www.dnb.com/get-a-duns-number.html
What is your business' legal structure?
What sector is your company in? *
Years in business: *
Required
Business Stage
Please provide a brief description of your business *
Have your ever applied for venture, angel or other funding for your company? If yes, please explain briefly the outcome
Does the applicant or co-applicant own any property taxes to the City of Cambridge? *
Is the applicant or co-applicant, a political party, a campaign, a candidate a public official or foreign political official or an immediate family member of such an official, or a business entity formed by or for the benefit of any public official? *
If you responded yes to the last two questions, please provide details here
In the space below (maximum 3 paragraphs), please tell us why you feel participating in Program would benefit you and your business. What would you do if you got funded? In what ways do you need to build your network? *
As an entrepreneur, what keeps you up at night? *
Please electronically sign this form. I certify that the information on this form is true and accurate to the best of my knowledge. I also understand that the demographic information I provided in this form is subject to verification by the Federal Housing and Urban Development Department (HUD). *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms