Entrepreneurship Assistance Center (EAC) Program Application/Assessment
Please complete this application. The program fee is $550; $450 if enrolled by 3/4/24.
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Email *
Name *
Address *
City *
State *
Zipcode *
Phone Number - Home *
Phone Number - Cell *
Business Name (if applicable)
Business Type (industry e.g. retail, service, etc.) *
Are you a veteran? *
Do you own your business? *
Have you filed your business with New York State (NYS) and/or with a local municipality? *
If yes to the above question, please provide the date you filed your business? *
MM
/
DD
/
YYYY
Is your business a NYS certified service-disabled business? *
Is your business a certified NYS M/WBE firm? *
Status (Check all that apply.) *
Required
Describe your business idea and how you plan to start or expand this venture. *
List the background, education, skills, talents and training you bring to the business. *
List your present/past work experiences. *
What have you accomplished in other areas that may be helpful in this business? *
Is/or will the business be your main source of income? *
Have you researched the market and competitors for the product/service? Discuss. *
Do you have financial resources for this venture? Discuss. *
Have you reviewed your credit history? Discuss. *
What is your commitment to the venture? Discuss if full/part-time. *
Discuss the strengths and weaknesses you bring to the business. *
Discuss how you plan to overcome the weaknesses. *
Please indicate your computer skill level. *
Discuss any additional information relative to your business. *
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