VEI Program Application Submission

VEI Program Application Submission

Thank you for your interest in participating in our educational cohorts and programming. Please complete the following form to be considered for our upcoming classes.

Form Date Field*

First Name*

Last Name*

Select all the programs you are interested in*

Learn more about our programs here: vei.center/programs

VEI Launch

VEI Scaleup

Not Sure

Email address*

Phone Number*

Phone

Address Line 1*

Address Line 2

City*

State*

Zip Code*

County*

Select

Gender

Male

Female

Prefer not to say

Brief Bio*

Please write a short professional bio, two or three sentences in third person, including current projects. Example: After 15 years in the Air Force, John Doe worked in program management for NASA. He launched Doe Engineering in 2019 and is currently scaling his business from regional to national operations.

Which upcoming Cohort/s are you interested in?*

You can find our upcoming cohorts on our Events page: https://vei.center/events/

Select

How did you hear about our program?*

Select

Are you already in business (incorporated)?*

Select

Legal Business Name or Name Idea

Incorporation Date

Federal Tax ID (FEIN Number)

State Incorporated

Currently, how many employees do you have?

Include yourself, W2 employees, and 1099 contractors

Number of years in business*

If less than a year, put zero

What type of industry are you in?*

Select

Please list your NAICS code

You can find your NAICS code here: https://www.census.gov/naics/

Please describe your business in 2 to 3 sentences:*

Business Address

Business Website

Revenue Generated*

In the last 12 months, what is the total revenue you've generated?

Capital Raised*

In the last 12 months, what is the total capital you've raised? (Including capital you've invested and outside investment)

Grant Funding*

In the past 12 months, what is the total amount of grant funding you've secured? (including government grants, foundation grants, sponsorships and/or in-kind grants such as Google for nonprofits)

Your goals*

Please describe the benefits you hope to gain by participating in VEI programs (In 2 to 3 sentences)

Are you a Florida Resident?*

Select

Please confirm which describes you:*

Select

Military Status*

Select

Military Branch*

Select

Anything else we should know?

Send me a copy of my responses

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