SEG Master Application for Services
Thank you for your interest in Social Enterprise Greenhouse.

We look forward to hearing more about your ideas!

The first part of this application asks for general information and can be completed quickly.

The second part may take longer (30-60 minutes), especially for the SEG Accelerator Program. (Note that answers are not auto-saved so we suggest saving everything in a word document as you write).

If you need help with any part of this application please contact us at info@segreenhouse.org.

Do well, do good!

Email *
First Name and Last Name (as it appears on your ID/Driver's License) *
Preferred Name (if applicable)
With which gender do you most identify? *
What are your preferred pronouns? *
With which ethnic/racial group(s) do you most identify? *
Check all that apply.
Required
Position Title *
If not applicable, please answer N/A
Home Address
Street *
City/Town *
State *
Zip Code *
Telephone *
Email Address *
Basic Venture Information
Name of Venture *
If the venture does not currently have a name please answer N/A
Venture Address
Street
City/Town
State
Zip Code
Telephone
Email
Where does/will your venture operate? *
Country, Region, and/or City (Where is the primary locale of sales, clients, and beneficiaries of your venture)
What is your industry? *
Please select all industries that apply:
Does your Venture fall into any of the industry clusters below? *
Required
Venture established in *
Please respond when you began actively working on your venture
MM
/
DD
/
YYYY
Number of Employees (Part-time, Full-time) *
ex. 10 (Part--Time), 6 (Full-time)
Legal Structure *
Which best describes your venture? *
Does your business fit any of the following features? *
Please check all that apply to any individual in you leadership team (i.e CEO, co-founder, CFO, Partner)
Required
Annual Operating Budget *
Venture Stage *
Federal Tax ID (if incorporated)
Mission *
The mission is a statement about why your venture exists
What does your venture do? *
Elaborate on what you are doing, how you are doing it, and for which beneficiaries
How does your venture 'do good' (ie. address social issues)? *
Where is your geographic area of impact? *
If you are not yet operational please answer your planned geographic area of impact
Who benefits from your venture's work? *
Please only select the primary groups which your venture specifically serves
Required
How did you hear about SEG? *
Have you been in contact with someone from SEG prior to filling out this form? *
If yes, with whom?
In which of the following areas could your venture use support? *
Required
Which program are you submitting an application for? *
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