The Connect Application Form

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Please complete this registration form by answering all of the questions below. Incomplete applications will be not be accepted. Applications are due by July 6th. Applicants will be informed of their status by July 20th. If you need assistance completing this application form please email us at info@blackchamberevv.com

Full Name

Email Address *

Phone Number *

Name of Business

Please describe your business including the type of services or products you provide or wish to provide.

Are you registered with the State of Indiana? *

Yes

What stage of business are you in?

Idea/Creation

Working a 9-5 but operating a side hustle

New Registered Business

Full-time Entrepreneurship

Other:

Clear selection

What parts of getting started do you need assistance with?

Incorporating/ registering business

Website/branding

Marketing

Building to operate in

What do you feel is holding you back from having the business you want?

Do you have an established startup budget for your business?

Yes

Clear selection

If you answered yes to the previous question please indicate the amount you have allocated for your budget

If you were provided with $500 today towards your business please briefly describe how you would use the funds?

Please tell us what you bring to the market you're in and how it makes you unique?

Do you have 6 weeks to dedicate to the creation of your business?

Yes

Clear selection

Submit

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