Premium Membership & Office Tenant Application Owner InformationFull Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Are you a applying for Premium Membership or an Office Suite?* Premium Membership Office Tenant Are you a current Co-Work or Premium Member? Co-Work Premium Not a Current Member Have you been on a tour of the Suite Spot? Yes No If yes, please provide the date. Business InformationCompany Name* Years in Business* Are you home base? Yes No Do you have a business license?* I have a business license in Sugar Hill I have a business license in a different city I plan to obtain a business license in Sugar Hill I plan to obtain a business license but haven't decided the location My business doesn't need a business license Number of Staff Members (including yourself) who will be utilizing the office? *Question is only applicable for those applying for an office.Please provide a snapshot of your business.*Snapshot of BusinessAccepted file types: pdf, doc, docx, Max. file size: 16 MB.You can upload a file instead of typing in the snapshot of your business. Add copy stating to view the attached file in the snapshot of your business section. Please do not exceed four paragraphs. File formats accepted include pdf, doc, and docx.Will your business be or is your business a… For Profit Nonprofit What are your entrepreneurial and business goals for the next six months to a year?*Select the support items you would like to receive while at the business incubator. Learning Local Resources Online Learning Tools Leadership Courses Creating a Business Plan Business Development Courses Mentorship Speakers Networking Programs Staffing & Intern Needs None, Self-Sufficient Why do you believe a business incubator is the right fit for your business?*CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Δ
