Sales Tax License Number
Business Start Date
NAICS Code(s) if known
Number of Company Locations - In state
Number of Company Locations - Out of State
Percentage of Physical Assets - In State
Percentage of Physical Assets - Out of State
Gross Sales for the past 2 years
Projected gross sales for the next 2 years
Net income for the past 2 years
Projected net income for the next 2 years
Number of FTE the past 2 years AND percentage which were employed in Colorado
Projected number of FTE for the next 2 years AND percentage employed in Colorado
Other (please describe)
Please briefly describe your company and the backgrounds of founders and key management team
Please briefly describe your technology and innovation and the potential uses
Business Growth/Other explanation
If you have received an SBIR/STTR or other innovation grant(s) in the past please explain: The type of grant, the agency or organization awarding the grant, the phase(s) you received, and the years in which the grant was received
Please identify 1 to 3 key issues you think will be important to discuss with the SBDC TechSource team- list by priority
Please describe your planned outcomes from participation in this program (may include business goals, action items, or specific activities)
What Stage of Business are you in?
Pre-Revenue/R&D/Proof of Concept Stage
Post-Revenue - R&D Funding
Post-Revenue - Generating revenue from customers
What year did you first start working on this idea / technology
Date of Incorporation (if applicable)
What problem is your innovation solving?
Describe your product, service, or technology in 2-3 sentences (please explain whether your solution is still an idea, prototype, or completed product)
What is unique about your solution?
Describe your target market (size of the market, demographic and psychographic information) Have you conducted primary research?
What is your projected revenue over the next 12 months (enter 0 if no revenue is expected)
How many people are currently working for your company? This would include founders, employees, and contractors.
Other (please describe)
Please provide the dollar amount of all funding received to date
If you're currently looking for additional funding, how much do you hope to raise / in what time frame?
What key business challenges are you looking for assistance with? (i.e. business plan assistance, fundraising, IP strategy / protection, technology commercialization planning, go-to-market strategy, market research, recruitment, financial projections)
How did you hear about the program? If referred, by whom?
By entering your name here, you are indicating that the above statements are true and correct, and acknowledge that you are electronically signing this application form