Center for Emerging Technologies & Entrepeneurial Studies - Business Incubator Entrance Application Form

Home

Business Incubator

Staff

Training

Clients

Consulting

Web 2.0

Economic Development

Facilities Requirements Application Services Resources Plan Outline Commercialization Model

Business Incubator Entrance Application Form

Bold fields are required. Note this form's fields are cleared on startup.

Personal Information

Please enter your name and address as they are listed for your debit card, credit card, or bank account.

Name of Applicant:

Current Address:

City:

State:

Zip/Postal Code:

Contact Information

Financial Information

We will never sell or disclose your email address to anyone. Once your application has been submitted for review, we may attempt to contact you via register@cetes.org. Please ensure that this address is added to your email account's safe list.

Email:

Home Phone:

Other Phone:

Financial Information

Although not all fields are required, the more information you submit, the faster we can process your application

What amount and sources of funding have you gotten to date?

Loan(s):

Investor(s):

Cash:

Do you have funding in place for at least the next 6 months?

Yes No

Will you need to raise money before entering the incubator facility?

Yes No

If Yes From Where?

Are you currently seeking additional funding for your business?

Yes No

If yes, how much?

How do you plan to obtain these funds?

Services

Office Space Needed: How much office space do you think you need to start with?

Number of Employees: For how many employees?

What type of shared office resources are you interested in?

Receptionist Copier Internet Access Fax Conference Room Break Room Networking Facilities

Do you currently have an accountant?

Yes No

Do you need financial planning assistance?

Yes No

Do you currently have an attorney?

Yes No

Do you need management assistance?

Yes No

Do you need marketing assistance?

Yes No

Are you willing to keep your company in the state of Oklahoma after graduating from the incubator?

Yes No

Outlook: How would relocating to the CETES incubator help you?

Agreement to Participate

I understand that a business incubator provides a unique environment in which new companies can lease shared commercial office space with shared services and receive business development assistance. If selected to be a tenant in this facility, I agree to participate in group activities such as, but not limited to, workshops, seminars, and meetings as determined by incubator management. I further agree to interact with other tenants in non-competing companies sharing lessons learned, participating in round table discussions, and providing collegial support. Such participation is not intended to distract tenants from their own company business and will be held to a minimum.

Signature:

Current Date:

Name of Company:

I Accept

Confidentiality

I am applying for admission to the CETES incubator facility at Cameron University. I certify that all the information contained in this application is true and accurate. I further understand that the information provided will be held in the strictest confidence and only used to evaluate an applicant's suitability for admittance into the incubator. I understand that as part of the screening process, my credit history and financial references may be investigated. I also understand that this application is subject to review and in no way guarantees my admittance to this program and that no liability will be assumed by CETES or Cameron University.

Name In Full:

Current Date:

I Accept

Content on this page requires a newer version of Adobe Flash Player.

Business Incubator Entrance Application Form

Personal Information

Financial Information

Company Information

Financial Information