Initial Business Application First Name * Last Name * Email Address * Address Line 1 * Address Line 2 City * State * Zip Code * How did you hear about us? * Are you a Veteran? * Yes No Are you currently employed? * Yes No Were you born in the United States? * Yes No Briefly describe any experience you have had that would help you in managing a unique business that specializes in customized family oriented services to our customers. Our customers include children, parents, families and our community. * Have you taken any small business training classes? If so, what classes, when and where? * Have you owned or do you own your own business? * Yes No Business Name Business Phone Business E-mail Business Website Describe your business. What did you do? Business Status Type of Sales Legal Status Are you willing to share your financial analysis? * What partnerships do you have or plan to establish with suppliers, retailers, distributors? * Describe how you see yourself progressing in the next year to five years. * Describe your business's personality externally. * Describe your business personality internally. What do you want your company culture to embrace? * Other questions or comments?