SJC Incubator Interest Form
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First name *
Last name *
Email *
Phone Number *
Zip Code *
Do you have a business idea already? (Having one is not required in joining the program) *
When are you available to join us at our in person workshops? (Check all that work for you)
Can you write out your availability if you need to provide additional information.
What is the best way to reach out to you? *
Required
Please tell us a little about yourself
Do you have any questions for us?
Demographic Information

Open Innovation Centers applies for grant funding to keep our programs at low cost or no cost to participants. In these grant applications we are often asked to speak to the demographics of who we serve.

Your name will never be attached to any demographics we share.

Your information will never be sold.

We appreciate your help by providing this information but if you are for any reason uncomfortable answering these questions you can always select “Prefer not to say”.

What is your gender identity? *
What is your ethnic background? *
What is your level of education? *
What is your employment status? *
What is your annual household income? *
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