MEC-Fairfax Incubator Application
Please list the name(s) of the individual(s) responsible for signing a lease if your company is accepted into the incubator.
Primary Business Telephone Number
Why are you interested in the MEC-Fairfax Incubator?
How did you hear about us?
Describe the product or services your business provides (or plans to provide) in under 50 words.
Please list the past 12 months, current, and projected annual revenues.
What stage is your company ? (i.e. concept only, prototype or beta, some revenue, rapid growth?)
MEC-Fairfax Selection Criteria
Has your company been established more than 6 months?
Can You Provide a Certificate of Insurance Policy?
Current Business License
Please Upload a One Page Executive Summary
Finances: Next 6 months
Do you have funding in place for at least the next 6 months?
Which of the following would you consider using if you became an incubator client?
Physical Space: Office
Space needed (square feet)
How much space do you think you need to start with?
Virtual With Phone Service
Virtual Without Phone Service
Telephone service with voicemail
Mason SBDC (want to take your business or idea to the next level?)
PTAP (Helping business do business with government)
Monitoring business progress
Financing: equity consideration
Send me a copy of my responses
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