I understand my company needs to meet all minimum qualifications to be accepted into the Growth Acceleration Services *
Full Name *
Title
Company Name *
E-Mail *
Business Address *
Daytime Phone *
Fax
Website
Business TypeRetailManufacturingConstructionWholesaleServiceOther
Business Start Date (must be in business 3 or more years) *
Business NAICS Codes (Provide all that apply)
Currently In BusinessYesNo
GenderMaleFemale
RaceWhiteBlackAsianNative AmericanHawaiian or Pacific IslanderOther
Legal StructureSole ProprietorS-CorpPartnershipLLCCorporationUndecided
Must have a total of 5 or more employees
Number of Employees - Full Time *
Number of Employees - Part Time *
Veteran StatusNon-VeteranGulf War VeteranVeteranVietnam Era VeteranDisabled VeteranService-Connected Disability
Business Owner: Disabled or Handicapped?YesNo
Are you any of the following?SBA BorrowerSBA ApplicantMBE Certified8(a) CertifiedSurety BondImport/ExportHubZone
2014 Total Revenue/Sales
2015 Total Revenue/Sales *
2016 Total Revenue/Sales *
2017 Projected Total Revenue/Sales
Annual Profit (Loss) in terms of $
Do you currently have a positive cash flow?YesNo
Additional Comments
What are your main products and services?
How do you currently market your products/services?
Who are your biggest customers?
Who are your major competitors?
What is your biggest challenge?
How do you hope to benefit from this service?
Do you have a business plan?YesNo
Do you have a budget?YesNo
How did you learn about this service?
The FSBDC at UCF is a member of the Florida SBDC Network, a statewide partnership program nationally accredited by the Association of America’s SBDCs and funded in part by the U.S. Small Business Administration, Defense Logistics Agency, State of Florida and other private and public partners, with the University of West Florida serving as the network’s lead host institution. Florida SBDC services are extended to the public on a nondiscriminatory basis. Language assistance services are available for limited English proficient individuals.