The Founders Business Accelerator - Cohort 2 Application
PLEASE NOTE: ALL APPLICANT'S MUST LIVE AND WORK (BUSINESS ADDRESS) IN THE CITY OF LOS ANGELES.

Thank you for your interest in applying for Cohort 2 of the Founders Business Accelerator presented by the Los Angeles Cleantech Incubator (LACI). In this application, we will ask you a set of questions that will help us select 10-15 business owners for our Cohort 2.

Application Deadline: November 27, 2019.

Privacy Statement: LACI is dedicated to protecting each Applicant's privacy and confidential information in accordance with applicable law. We use your personal information to assess your compatibility with the FBA program; however, we may share your anonymized information with third-parties (including the City of Los Angeles) to ensure proper grant compliance and oversight.
Email address *
Your First Name *
Your answer
Your Last Name *
Your answer
Your Phone Number *
Your answer
Your Home Address *
Your answer
What is your role in the company?
Are you the owner, manager, or staff?
Your answer
How did you hear about us? *
What is your residential City Council District? *
Please select your Los Angeles City Council District in the drop-down. If you are unsure of your district type your street number and street name here to find out: https://empowerla.org/council-districts-map/
Next
Never submit passwords through Google Forms.
This form was created inside of LA Cleantech Incubator. Report Abuse