ZABSpreneur Incubator ApplicationPersonal InformationHelp us get to know a bit about you.Name* First Last Date of Birth* MM slash DD slash YYYY Do you have an intellectual or developmental difference?* Yes No Please describe your difference so we can better understand how our program can help.Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*What is the best way to reach you?* Phone Email Text Business InformationHelp us get to know your business (or business idea).Do you have someone supportive of your business/business idea?* Yes No Great! In what ways do they support your business / business idea?*Are there certain parts of the business they take care of? Do they mostly offer guidance? Do they help make products?Business Supporter's Name* First Last What is their relation to you?* Parent Sibling Friend Mentor Business Supporter's Email* Business Supporter's Phone*What is your business/business idea?*Please tell us a bit about what you make.Who are your products meant for?*How long have you been working on your business/business idea?*Less than a month1-3 months3-6 months1-3 yearsNot SureWhat work have you already done for your business?*Does your business have:*YesAlmostNot YetI'll Need HelpA name?Business cards?A logo?A website/online shop?Social Media accounts?Which Social Media sites does your business use?You may choose more than one. Facebook Instagram Twitter LinkedIn PinterestWhat makes your business/idea different from other similar businesses?*Why is starting or growing your business important to you?*Please upload photos of your products Drop files here or Select filesAccepted file types: jpg, png, Max. file size: 256 MB, Max. files: 5.Does your business/idea fit in one of these categories?* Multi-level Marketing Franchise of Existing Business Involved in Politics or Lobbying Affiliated with a Religious Organization or Group None of the categories listed aboveBusiness Financial InformationHelp us understand the money part of your business.Have you sold your product yet?* Yes NoHow much money have you received from sales in the last 12 months?*How did you hear about the ZABSpreneur Incubator program?* Someone at ZABS Place I asked A Friend OtherI understand that* This opportunity is offered to individuals with intellectual or developmental differences, ages 16 or older.CommentsThis field is for validation purposes and should be left unchanged.
