Apply for the Idea Incubator

Name*

First Last

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Cell Phone*

Would you like to receive periodic email and text updates from ASSETS? (Msg and data rates may apply)*

How did you hear about this program?*

GENERAL INFORMATION

Are you a resident of Lancaster City?*

Yes
County
Out

Race*

If you selected other in the box above, please further specify.

Gender*

Sexual Orientation

Are you Latino/Hispanic?*

Yes
No

Do you have a disability?*

Yes
No

Are you a veteran?*

No Military, Reserve, or National Guard Service
Yes

Are you the female head of household?*

Household where an adult female is the main income provider and decision maker

ISSUE:

What is your business idea?*

What stage is your idea?*

How long have you been working on your business idea?*

What kind of social or environmental impact does your business idea have, if any?*

How does or how could your business idea incorporate the fields of Science, Technology, Engineering, Art, & Mathematics (STEAM)?*

TARGET:

Describe your typical customer or target market.*

Be specific by including age, gender, demographics, and other details that describe the typical person who will buy your product or service

What is the problem you are seeking to address for your customer, through your business idea? (i.e. describe the problem you are solving with your business product or service)*

Why are you interested in addressing this problem?*

What relevant industry experience do you have that sets you up for success?*

Who are your competitors in this field?*

LAUNCH:

What do you need in order to start your business?

Start up: Are you currently in business?

If you are in business, please complete the following questions. Proceed to the “Final” section if you are in the idea phase.

What is the name of your business?

When did you establish your business? (MM / YYYY)

What barriers are you experiencing as a start-up? What steps have you taken to solve these issues?

Final Section

Are you able to commit to attending the weekly in-person sessions on Wednesdays from June 26th to August 21st?*

Any other comments?

Have questions or need assistance?

If you have questions or problems with filling out the application, please email wbc@assetspa.org.

Email

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

Apply for the Idea Incubator

AN 8-WEEK COURSE HELD ANNUALLY IN THE SPRING AND FALL

2024 Fall Idea Incubator Application

GENERAL INFORMATION

ISSUE:

TARGET:

LAUNCH:

Start up: Are you currently in business?

Final Section

Have questions or need assistance?

Apply for the Idea Incubator

AN 8-WEEK COURSE HELD ANNUALLY IN THE SPRING AND FALL

2024 Fall Idea Incubator Application

GENERAL INFORMATION

ISSUE:

TARGET:

LAUNCH:

Start up: Are you currently in business?

Final Section

Have questions or need assistance?

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