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Application | CO.STARTERS Core at Innovate Springfield
Thank you for your interest in the CO.STARTERS Core program! We're excited to walk alongside you in your entrepreneurship journey.
Please fill out the following application.
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Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
What is your Race or Ethnicity?
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White/Caucasian
Black/African/African American
Asian
Native American
Hispanic, Latino, or Spanish origin
Other:
Do you have a physical or mental impairment which substantially limits you in one or more major life activity; or have a record of having such an impairment; or are regarded as having such an impairment?
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Yes
No
Age Group
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Under 18
18-24
25-44
45-64
65+
Highest level of education completed
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High School Diploma/GED
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
PhD, MD, JD
Have you ever served in the military?
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Yes
No
What is your mailing address?
*
Your answer
Business Name
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If you haven't decided on a name yet, type "Still working on it."
Your answer
Business Website:
Your answer
Tell us a little about your venture.
What will it be? Who will be your customer? What are you selling?
Your answer
What are you hoping to get out of this program?
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Help with marketing? Raising capital? Peers to bounce ideas off of? Accountability? These and more are all great answers!
Your answer
How did you hear about this program?
*
Your answer
Thank you!
Thank you for your response. We will review your application and contact you with a decision as soon as we can.
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