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CIED Client Application
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* Indicates required question
Name
*
First and Last Name
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Company Name
*
Your answer
Company Type (select all that apply)
*
Arts & Entertainment
Biotechnology
Computer Hardware
Consulting
Engineering
Environmental
Environmental Hardware
Finance
Green Energy
Information Technology
Logistics
Marketing
Other:
Required
Company Description- Please provide 3-5 sentences describing your company.
*
Your answer
Product and Service Description- Please provide 3-5 sentences describing your company's product(s) and/or service(s).
*
Your answer
Desired or Existing Location
*
Your answer
What stage are you in?
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Considering starting a new business
In the process of starting a new business
Already running a business
Other:
What kind of help are you looking for from the Incubator? (select all that apply)
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Incubation
Mentoring
Office Space
Support Services
Other:
Required
What are your long term goals? (select all that apply)
Remain a one-person company (may retain 1099 contractors)
Hire and maintain 1-49 employees
Hire 50 or more employees
Provide customized products or individualized expertise
Scalable growth
Importer/Exporter
Local Business
Multiple New York State locations
Multiple locations across the United States
Global business with multiple locations
Other:
How did you hear about us? (select all that apply)
*
CIED Website
Networking Event
Newspaper
Referred by Friend
Search Engine
Social Media
SUNY Fredonia
Other:
Required
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