BUSINESS TAKEOVER APPLICATION
Please fill the application out in its entirety. If it does not apply type N/A. The application requirements are
1. Current business owner or aspiring business owner
2. Determined and dedicated to growing your business
3. Ready to invest time

PLEASE NOTE: THIS APPLICATION AND ITS' CONTENTS ARE 100% CONFIDENTIAL, YOUR INFORMATION WILL NOT BE SHARED WITH THE PUBLIC

Email address *
GENERAL INFORMATION
This section will allow us to capture general information about the organization
Full Name (first and last) *
Your answer
Business Name *
Your answer
Business Address *
Your answer
Business Website *
Your answer
Business Phone *
Your answer
Business Social Media Handles *
Your answer
Are you a church or a nonprofit? *
Is the organization a 501c3? *
Are you in good financial standing with the IRS? *
Summarize your business in 3 sentences or less *
Your answer
Describe your business in detail. What is the mission and vision? *
Your answer
Are you currently fulfilling the mission in your business? *
When was the organization founded? *
Your answer
How many years of experience do you have in your field? *
Do you have any business partners? *
Financial Information
This section allows us to determine the financial state of the organization
What was your gross income the year before last fiscal year? *
What was your gross income last fiscal year? *
What is your gross income this fiscal year? *
What is your income goal? *
Is the organization currently profitable (a surplus or deficit)? *
Do you have a current budget? *
Have you received grant funding? If so, how much? When was it funded? Are the funds still available? *
Your answer
How much of your personal finances have you invested into the organization? *
Your answer
List the products you sell and their descriptions *
Your answer
List the services you sell and their descriptions *
Your answer
What are you fundraising tactics? *
Your answer
Support Staff
This section shows us how much support you have from employees to volunteers
List any clubs or organizations you are affiliated with *
Your answer
Have you hired any contractors (grant writers, accountants, lawyers, etc.)? If so, who? List their title *
Your answer
Who are your board members, their titles, and what area of expertise do they specialize in? *
Your answer
Do you have consistent volunteers? If so, how many? *
Your answer
Do you have full-time employees? If so, how many? *
Your answer
Do you have part-time employees? If so, how many? *
Your answer
What Programs/Ministries do you have? *
Your answer
Goals/Accomplishments
This section gives us a better picture of what you'd like to accomplish and what you have done thus far
What are your short term goals? *
Your answer
What are your long term goals? *
Your answer
Do you have any education or experience in entrepreneurship? If so, explain. *
Your answer
What attempt have you made to build the organization? Has it been successful? *
Your answer
What has been the greatest accomplishment in the organization so far? *
Your answer
Is there anything else you would like us to know about your organization? *
Your answer
Business Analysis
This section will give us the opportunity to asses your business needs
Do you have a marketing plan in place? *
If so, please explain the marketing tools or tactics you use. If not, note N/A *
Your answer
Do you have updated bylaws? *
What part of the organization do you feel is suffering the most (staff, consistency, customer service, etc.)? *
Your answer
Why do you want us to take over your business? *
Your answer
Do you have any of the following in place? Check all that apply *
Required
How many hours per week can you commit to working on your business? *
Your answer
How did you find out about Business Takeover *
By checking the box you agree to allow us to document the Business Takeover process via photo and video. We will NOT display any sensitive or confidential information. You are also agreeing to allow us to post and tag you on social media. *
Required
Todays Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.