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Entrepreneur-in-Residence with Entrepreneur Resources Business Support Center
Please complete this form to apply for our Entrepreneur-in-Residence program.
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* Indicates required question
Email
*
Your email
Your name
*
Your answer
Your business name
*
Your answer
Your email address
*
Your answer
Your website
*
Your answer
How did you hear about this opportunity?
*
Social media
Newspaper
Elizabeth City Chamber of Commerce
Someone told me about it
Tell us a little about your business and what you do
*
Your answer
Do you have a brick & mortar business location (an office, retail store, shop, restaurant, etc?)
*
Yes
No
Is your business located in Elizabeth City? If not, where is your business located?
Yes
No
Other:
Clear selection
How many years have you been in business?
*
0-3 years
3-5 years
5-10 years
10+ years
Please select the number of days for your residency (not to exceed
five (5) consecutive calendar days)
*
1
2
3
4
5
Presentation Only
Would you require any special equipment/technology to work in our incubator during your residency?
*
Yes
No
Does your business fit any of the following?
*
Food-based
Medical-based
Music-based
Automotive-based
Requires the use of hazardous materials
Requires users to sign legal agreements (NDA, NCND, or other forms of confidentiality agreements)
Required
Please tell us about your team (check all that apply)
*
I am a solopreneur ( I own & operate this business by myself)
I have additional full-time employees
I have additional part-time employees
I have independent contractors
I am an agent or independent representative of a franchise
Required
Do you sell products or services?
Products
Services
Both
Clear selection
Do you have an online/ e-commerce business?
*
Yes, I sell my products or services online
No, I do not sell my products or services online
I sell my products/services online AND in-person
Would you like for our business to refer people who may be interested in your services?
*
Yes
No
Maybe
Can we add you to our email newsletter list to share additional upcoming opportunities to work with us and our clients at Entrepreneur Resources Business Support Center?
*
Yes
No
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