Incubator Application

SBA 7a Loan
Prequalification Intermediary

Proud Member

BALDWIN COUNTY BUSINESS INCUBATOR
INCUBATOR CLIENT APPLICATION

Business Name:
Your name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Website:
Describe briefly the focus or nature of your business, including your product or service.
Is your business new?
When did you start your business?
What is the current status of your business? (i.e. prototype, beta site tested, production, etc.)
What is your legal organization? (i.e. S Corp., C Corp. LLC, Partnership, Sole Proprietor)
Number of Employees (current):
Full Time
Part Time
What are your primary business needs?

List three people who can vouch for your technology or business expertise:
Name
Company
Phone
E-mail
Name
Company
Phone
E-Mail
Name
Company
Phone
E-Mail
Questions or comments?
How did you hear about the Virtual Business Incubator?