Name: ZABS Place
Price range: $

Personal Information

Help us get to know a bit about you.

Name*

First Last

Date of Birth*

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 State ZIP Code

Email*

Phone*

What is the best way to reach you?*

Phone
Email
Text

Business Information

Help 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?*

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?*

What work have you already done for your business?*

Does your business have:*

Which Social Media sites does your business use?

You may choose more than one.

Facebook
Instagram
Twitter
LinkedIn
Pinterest

What 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

Accepted file types: jpg, png, Max. file size: 128 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 above

Business Financial Information

Help us understand the money part of your business.

Have you sold your product yet?*

Yes
No

How 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
Other

I understand that*

This opportunity is offered to individuals with intellectual or developmental differences, ages 16 or older.

Phone

This field is for validation purposes and should be left unchanged.

	Yes	Almost	Not Yet	I'll Need Help
A name?
Business cards?
A logo?
A website/online shop?
Social Media accounts?

ZABSpreneur Incubator Application

Personal Information

Business Information

Business Financial Information