SCALE UP APPLICATION Admissions Application Company NAME * EMAIL * PHONE NUMBER * ADDRESS * CITY * STATE * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP * BUSINESS NAME * WEBSITE * BUSINESS DESCRIPTION * Describe the products and/or services that you sell. WHICH PROGRAM ARE YOU APPLYING FOR? * SistahLeads 90 Day Sales Funnel 4-Week E-Course Retail Success Academy Consulting Success Mastermind WHAT WERE YOUR 2018 ANNUAL REVENUES? * HOW MANY YEARS HAS YOUR BUSINESS BEEN A LEGAL, REGISTERED ENTITY? * HOW MANY EMPLOYEES DO YOU HAVE? * HOW ARE YOU CURRENTLY FUNDING YOUR BUSINESS? * HOW MUCH BUSINESS CAPITAL HAVE YOU SECURED TO SCALE YOUR BUSINESS? * How much do you have in loans, cash flow or grants. PLEASE SHARE YOUR SHORT TERM BUSINESS AND FINANCIAL GOALS * This program is reserved for women who are looking to expand their business. Please describe how you intend to increase staff, revenues, clientele or physical space. WHY ARE YOU INTERESTED IN PARTICIPATING IN THIS PROGRAM? * ARE YOU WILLING TO APPLY FOR A LOAN? * We provide credit repair, accounting services and other loan readiness support. PLEASE LIST ALL GOVERNMENT CERTIFICATIONS SECURED? *
