ELLENSBURG INCUBATOR TENANT APPLICATION

2. APPLICATION FOR TENANCY AT THE ELLENSBURG BUSINESS INCUBATOR
   Please answer all questions contained in the application without leaving them blank. If a question does not apply, enter NA.

   Please answer all questions contained in the application without leaving them blank. If a question does not apply, enter NA.

4. GENERAL INFORMATION

6. Business Name:*

7. Is this business currently in operation?*

   1. Yes
   2. No

9. Current business address*

11. City*

12. State*

13. Zip Code*

15. Phone number*

16. Cell phone (if different)*

17. Email address*

19. Desired occupancy date*

21. Contact Person*

22. Type of Business*

    1. Sole Proprietor
    2. Partnership
    3. Corporation
    4. LLC

24. Contact Person's Address (if different)*

    If same as business address, type "SAME"

26. City*

27. State*

28. Zip Code*

30. List all partners and shareholder's name*

32. Method of Business*

    1. E-Commerce
    2. Service
    3. Manufacturing

    1. Technology
    2. Professional

34. Brief description of your business*

36. Briefly describe the market for your product/service*

38. Number of current employees*

    Include full-time, part-time, temporary, seasonal, and yourself

39. Any special requirements necessary for your business *

    As example, electrical load for refrigeration, etc.

41. What are your short range (1-3 years) business goals?*

43. What are your long range (3-10 years) business goals?*

45. How will locating your business in the incubator help you achieve your business goals?*

47. References*

    Please provide 3 professional/personal references and their contact information.

49. Please upload your existing business plan*

    A business plan is a formal document or road map for your business' success. If you do not yet have a formal business plan, please upload a one page outline of your business strategy.

50. QUESTIONS?
    If you have any questions, please call (509) 925-8657 or send an email to Margaret at reichm@ci.ellensburg.wa.us

    If you have any questions, please call (509) 925-8657 or send an email to Margaret at reichm@ci.ellensburg.wa.us

Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit

* indicates a required field