Velocity Program Application
To be eligible you must be:
* A business entity with minority ownership (ethnicity, veteran, disabled, gender, or other)
* Revenue generating ($1 to $1 million)
* Have a legal and accounting structure in place
* Able to attend and participate in weekly program
* Receptive to business advisory and mentoring offerings
Company Name
Your answer
Contact Name
Your answer
email
Your answer
Phone
Your answer
NAICS Code
Your answer
If NAICS Code not available please specify industry:
Your answer
Please list the main products/services of the company:
Your answer
Years in business:
Your answer
Percentage Minority Owned:
Your answer
Minority Status
Required
MBE Certified or MBE Certification Eligible:
Number of Full-time Employees:
Your answer
Previous Year Revenue:
Your answer
Year to Date Revenue
Your answer
Revenue Target for Year:
Your answer
Please list any large customers/contracts you are targeting:
Your answer
List the top 1-3 growth challenges/needs:
Your answer
Are you able to attend weekly 90-minute sessions:
Please explain in 3-5 sentences why you feel this program is a good fit for your business:
Your answer
Any additional information you would like us to consider:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms