Form3

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Basic Information:

Contact Information

Your Name*

Address*

Phone*

Email*

Website

Business Profile

Registered Business name*

Business Operating Name

Business Address

Mailing Address

Telephone

Date Established

Form of business

Corporation

Sole Proprietorship

Partnership

Other

Industry Sector

Retail

Service

Franchise

Other

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Company Information:

Company Owners

List Names

Business Name

Title

Business Involvement

Full Time

Part Time

Business Environment

Describe your product or service?* How will it be made?

Do you need raw materials? Where is it obtained?

How will the demand for your product or service increase or change?

Will you rely on skilled or un-skilled labour? How do you train your employees?

Where do you find your employees?

Are you joining an industry association?

Suppliers

Yes

Name-1

Address-1

Name-2

Address-2

Have you negotiated terms and conditions?

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Industry Information:

Industry

Describe the size of the industry

Potential Sales

Number of Customers

Describe any trends that could affect your industry (new technology, seasonal etc.)

Is this a growing, declining, or steady industry?

What factors have affected the above?

What is the long-term outlook for this industry?

Do you have to follow any safety regulations for this industry?

Yes

Market

Describe your target market.*

What is your share of the market?

Who is purchasing your product or service?

Product and Services

What makes your product or service unique, or what gives you a competitive advantage? *

What benefits do your customers get form purchasing your products or services?

Describe your price structure and mark ups typically for this industry

Describe your distribution methods

Provide a description of your skills, knowledge, and experience in this industry

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Others Information:

Business Incubator Client Intake Form

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