Thank you for your interest in enrolling in Start Up. Please fill out the following information as completely as possible. This form is secure and your responses will be kept completely confidential, except as needed for grant information (in which case we provide initials, not names).

The self-assessment portion of this application is designed to help you decide whether or not Start Up and starting or expanding a business at this time makes sense for you. It also helps you to think about some of the things you will need to explore during Start Up.  Although it is not a writing assignment, we will appreciate your efforts to make the material legible. We will use the information you give us to guide us in the selection process.

IMPORTANT: When completing this application, your answers will not save until you hit submit. It's best to put your answers in a separate document and then paste them into the fields so you don't lose anything by mistake!

If you have any questions or need assistance completing this application, please contact Claire Wheeler at cwheeler@mercyconnections.org or call 802-846-7081. Once we receive your application, we will contact you to set up an interview.