Velocity Program Application
To be eligible you must be:
* Growth-seeking
* 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 (if known)
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
Minority Owned: *
Minority Status (if applicable) *
Required
Minority Certified or 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