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Kauffman Foundation FastTrac® TechVentureTM

Entrepreneurship Training Program Brought to You by The Entrepreneur Center @NVTC

APPLY NOW: Complete and submit the form below.

Name of company:


Address:


City:


State:


Zip:


Contact Name:


Phone number:


Email address:


Provide a brief description (or elevator pitch) of your business. Please limit your answer to 3-4 sentences



Do you have a prototype? Yes No

In what industry segment do you consider your company?


How many years has your company existed?


Are you working on your company as a full-time or part-time venture?


What are your specific goals/main issues that you want to achieve and address through the FastTrac® TechVentureTM Program?



Please attach an executive summary if you have one.   (xls, doc, pdf, ppt)

Please attach a business plan if you have one.   (xls, doc, pdf, ppt)

How did you hear about The Entrepreneur Center @NVTC?
Email
Web Site
Direct Mail
Newspaper / Magazine
Radio / TV
Referred by someone
Other (please elaborate below)
Other: