Business Profile Assessment -

Your Information

First Name *

Last Name

Email Address *

Phone *

How did you hear about Cultivate?If you were referred by a colleague or organization tell us here.

Business Information

Business Name *

Website

Street Address *

Apartment, suite, etc

City

State

ZIP / Postal Code

Tell Us What Your Business Does *

Are you interested in any of the following ? (check all that apply)

Advisors that can help me grow my businessWe would like to have Cultivate programs in our communityVolunteer opportunities to support micro businessesBusiness Center Workspace - Office, coworking or mailBusiness Center Meeting Spaces (for business meetings)

Business Owner Gender *MaleFemaleOtherI'd rather not say

Is your business in the planning stage or are you an existing business that has customers? *Just getting started (No customers yet)Existing business with customers

What year did your business open?

What is your annual payrollThis field is not required but it helps Cultivate to track our impacts. Our reports aggregate this into the total payroll for all of our members.

What is your annual revenueThis field is not required but it helps Cultivate to track our impacts. Our reports aggregate this into the total revenues for all of our members.

How many Full Time W2 employees do you have

How many Part Time W2 employees do you have

How many Owners are in the business that are Not W2 employees

Discovery Questions

What types of business trainings or videos are most interesting to you?

Business Launching - Validate Your Idea, Create A Business Plan With Projections & Start The Launch ChecklistGrow Sales/Revenue - Create A Trust-Building Process To Continually Add New CustomersBusiness Finances - Improve Your Business Finances With A Budget & ForecastEffective Social Media - Identify and effectively use the social media platforms that are best to reach your customersIs Your Business A Fit For Investors - Understand what investors are looking for and what are the options for this path in OhioCheck all that interest you.

How much are you looking to raise?

Business Profile Information

Detailed business description for your Cultivate Business ProfileUp to 750 characters. Write out a compelling and thorough business description This will explain to customers what you offer, why buy from you and help customers determine if you are a good fit for them. We suggest that this includes a few sentances for each of the following: (1) Your value proposition (what you offer, why buy from you). (2) An overview of your services. (3) Background about your business. (4) A call to action that tells customers how to engage with your business.0 / 750

Facebook URL

LinkedIn URL

Booking URL

Instagram URL

Logo

No file chosen

Upload jpeg, png up to 3 mb each. Maximum of 3 files.

Head Shot of Primary Contact or Featured Images

Upload jpeg, png up to 3 mb each. Maximum of 3 files.

Does your business have fewer than 50 employees and less than $1 million in revenue and ALSO operate from one of the following Ohio Counties? *NoYes - Hocking CountyYes - Madison CountyYes - Athens CountyYes - Logan CountyYes - Ross CountyYes - Pickaway CountyYes - Another Ohio Rural County

Business Assistance Provided With USDA Support

Cultivate can log our Technical Assistance support for your business towards our goals to serve Rural Entrepreneurs and may be able to provide additional support for your business thanks to the USDA.

RURAL BUSINESS DEVELOPMENT GRANT (RBDG) REQUIRED CERTIFICATIONS Rural Benefit Certification It is hereby certified that the project is located in a rural area and all activities provided under the grant will benefit a rural area. A “rural area” is any area that is outside the urbanized periphery of a city with a population in excess of 50,000 inhabitants, according to the latest decennial census of the United States. United States - Controlled Certification It is hereby certified that at least 51 percent of the outstanding interest in the project has membership or is owned by those who are either citizens of the United States or reside in the United States after being legally admitted for permanent residence. Small and Emerging Private Business Certification It is hereby certified that the business (or potential business) being assisted meets the “Small and Emerging Private Business” certification as “Any private business which will employ 50 or fewer new employees and has less than $1 million in projected gross revenues.

First Name *Signed By