Power Up Spartanburg - Mentee Application
As small business owner in Spartanburg, SC,  we would like to thank you for your interest in Power Up Spartanburg - Mentoring as an initiative of the Small & Minority-Owned Business Development Strategic Action Plan (formally Power Up Spartanburg). 

Power Up Spartanburg - Mentoring is based on the successful model used by the renowned Venture Mentoring Service (VMS) program at the Massachusetts Institute of Technology. 

Please review the following program requirements prior to completing the application: MUST be a Spartanburg County business, min. of $25K in gross annual revenue, 1 or more W-2 employees, and must have 2 tax returns.

In order to best assist you, please complete all fields as accurately as possible. We look forward to reviewing your application! 

*If you experience any technical difficulties while completing this application, please contact Gabbi Pruitt (gpspartanburgmentoring@gmail.com).* 
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Location of Business (Street, City, State & ZIP) *
Business Name *
Business Contact Information (Name, Title, Email, Phone)
(Ex., Joe Smith, Owner, joe@joesmith.com, 555-555-5555)
*
Do you have other business partners?
(Include Name, Role, Email Address, Cell Phone)
Are you involved in other entrepreneurial activity?
Have you formed a legal business entity? *
How long have you been in business? *
Estimated Gross Revenue
Annual Revenue
*
# of Employees on Payroll
An employee is defined as anyone who performs services for you - IF you can control what will be done and how it will be done. (W2 Tax Form)
*
What does your business do? 
Please provide a succinct 1-sentence description of what you do:
Example: Something like “we create and sell game software for consumers". 
*
Industry Categorization (if other, please specify) *
Required
Opportunities for Growth:
These are areas where you may need expertise. Please select all that apply.
*
Required
What are the top 3 challenges you believe are limiting your business from scaling up in capacity and generating more revenue? *
If selected for this program, are you committed to fully engaging bi-weekly mentoring sessions?  *
Name the top three desired outcomes you hope to achieve by participating in Power Up Spartanburg - Mentoring Program. *
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