Tri-County Resource for Entreprenuers and Knowledge Hub (TREK)

Name* This field is required.

First Name

Last Name

What is the legal name of your business? (if available)* This field is required.Please put your own name if business name not yet available

Phone Number* This field is required.

Email Address* This field is required.

example@example.com

Website (if available)* This field is required.

Are you currently Debarred/Suspended from the Federal Government?* This field is required.

YESNO

Will this be a home-based business?* This field is required.

YESNO

Will you conduct all or some of your business online?* This field is required.

YESNO

Have you participated in LEAP Programs or received support from in the past?* This field is required.

YESNO

How Did Your Hear About This Form?* This field is required.

Which Program Partner Referred You to this Form* This field is required.

Business Address (wherever you are operating your business from - this can be commercial space or home)* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

Which County is Your Business Based In?* This field is required.

Which County Is Your Business Based?

Please provide us your TIN / EIN* This field is required.If you do not have this information you can register via the link below with the IRS and return when you have your Tax Identity Number (Register Here)

LARA ID (If available)* This field is required.The LARA ID for your business may be found at https://cofs.lara.state.mi.us/SearchApi/Search/Search

Date of Company Formation (If Applicable)

Date

What type of Business Formation?

Primary NAICS Code - Entering Zeros Will Result in Immediate Rejection - Please take a moment to look up your NAICS CodePlease use the NAICS Code Lookup at https://www.naics.com/search/

Please do not enter zeros. Find your code using the link https://www.naics.com/search/

What will the primary industry/sector of the business be? Please select the primary category from the items below.* This field is required.

If Other Please Describe

Please provide a brief description of your products and services which includes a your business model (the product or service sold and the customer problem that it solves)* This field is required.Minimum 50 words, please provide a description of your business.

How will the company generate revenue? Describe your marketing and sales strategy to grow customer base and compete in market.* This field is required.

Describe your competitors* This field is required.

Describe your ideal customer* This field is required.

Do you have any of the following things for your business?* This field is required.Select all that apply

Business Plan

Prototype/MVP

Paying customers

Business is officially launched

None of the Above

What type of business support are you seeking?* This field is required.

Education or Training

Find Funding

Mentorship and Advice

Talent/Workforce

Finding a Location

Expanding my Business

Business Plan Writing

As of today - how many Full Time Employees FTEs do you have at your business?* This field is required.

As of today - how many Full Time Employees FTEs do you plan to create with your business?* This field is required.

Please review the below business journey and identify where your business falls on the journey and the programs which align with each step - you can access a list of programs hereHelpful Definitions: -Early Stage Support = Idea stage, considering starting your business or simply interested in growing your own side hustle. - Follow On Support = You have the shape of a business, you are starting to get customers, looking for support to elevate your business and grow. - Fuel Growth = You have customers, you have a plan, you are now seeking funding to grow your business - Scaling Support = You are a fully functioning business and looking to expand into a new space, new customers, new products, etc.

For full program descriptions - LINK HERE

Please read this carefully and understand what each program offers. On the next question you be asked to select the programs and partners you are interested in being referred to.

Clicking all of them will not help you get more resources. We ask that you select only the relevant resources.

If you are confused or need help selecting a resource please complete the next section and indicate - "Not Sure"

Which of the programs/partners are you interested in being connected to. For more information about each program you follow the link for program descriptions: SBSH Program Descriptions and Links.pdf* This field is required.PLEASE pick a maximum of THREE OPTIONS.

LEAP - Fund Your Acceleration Grant Program (YOU MUST SELECT AT LEAST ONE OTHER PROGRAM TO QUALIFY FOR GRANTS)

Bold Growth - Blueprint Program: Bold Growth's Blueprint Program is for early-stage service-based business owners that are post-revenue. This program will help you drive focus, take action, and build momentum through 8-weeks of 1:1 mentorship & content.

Allen Neighborhood Center - Incubator and Accelerator Kitchen

Downtown Lansing Inc - Middle Village Market Retail Incubator: Middle Village is for practiced retail businesses that plan to open a storefront. This one year program allows you to open a micro storefront to build your brand, grow your clientele and earn capital. We provide below market value start up costs along with a robust business education program to help you succeed!

LEAP - One & All Startup Business Incubator

LEAP - Elevate Black Business Accelerator

LEAP - Ascend Hispanic and Latino Business Accelerator

LEAP - Lansing Regional SmartZone Programs (High-Tech and High-Growth Businesses)

MSU Research Foundation - High-Tech Startup Support and Mentor in Residence Program

Transformation GEMS - Transformation GEMS - Tri-County Unstoppable GEMS Program

Multicultural Business Programs at MSU Broad College of Business - Youth E-Ship Program

MotivatED Youth and Young Adult Entrepreneurship Support (ages 14-24) - Melanated Business Alliance

The Fledge - The Entrepreneurial Journey: Creating opportunity to pursue happiness through a radically inclusive ideation & maker space, incubator & accelerator.

Lansing Regional Chamber of Commerce

Lansing Economic Development Corporation

St. Johns Chamber of Commerce

Capital Area Small Business Development Center (SBDC)

StartupGrind Lansing

Not Sure

Please check the best Primary Tech Sector that describes your company (only check one)* This field is required.

Advanced Automotive

Advanced Agricultural Processing Technology

Advanced Information Technology

Alternative Energy

Advanced Manufacturing

Homeland Security & Defense

Advanced Materials

Life Sciences

Please choose the best NAICS that describes your company (only check one):* This field is required.

3251 Basic Chemicals

3345 Navigation Measurement and Control

3252 Resins and Synthetic rubbers Fibers and

3359 Other electrical equipment and Components

3253 Pesticides Fertilizers and other Agr Chemicals

3361 Motor Vehicles

3254 Pharmaceuticals and Medicine

3362 Motor Vehicle Bodies and trailers

3259 Other Chemical Products

3363 Motor Vehicle Parts

3261 Plastics Products Manufacturing

3364 Aerospace Products and Parts

3331 Agr Construction and Mining Machinery

3369 Other transportation equipment

3332 Industrial Machinery

3391 Medical equipment and Supplies

3333 Commercial and Service Industry Machinery

5112 Software Publishers

3336 Engines turbines and Power trans equipment

5174 Satellite telecommunications

3339 Other General Purpose Machinery

5182 Data Processing and hosting

3341 Computers and Peripheral equipment

5191 Other Information

3342 Communications equipment

5413 Architecture and engineering

3343 Audio and Video equipment

5415 Computer Systems design

3344 Semiconductors and other electronic

5417 Scientific research and development

6215 Medical and diagnostic laboratories

Please note that as a tech company - if you are accepted by the Lansing Regional SmartZone you will recieve an additional link to complete the MEDC Checklist form at the end of this process.

How do you identify your gender?* This field is required.

What is your age?* This field is required.

The company is at least 51% owned and controlled by one or more, or any combination of, Black or African Americans; Latino or Hispanic Americans; Native Americans (Alaska natives, native Hawaiians, or enrolled members of a federally or State recognized Indian tribe); Asian Americans/Asian Pacific/Asian Indian and/or Pacific Islanders; Other persons of color.* This field is required.

Yes

If Yes - What is your Racial Identity

The company is at least 51% owned and controlled by one or more veterans of any military branch of the United States.* This field is required.

Yes

If Yes - What Branch of Service

The company is at least 51% owned and controlled by one or more women.* This field is required.

Yes

The company is at least 51% owned and controlled by one or more who consider themselves a person with a disability.* This field is required.

Yes

Can you and/or your business demonstrate a disproportionate negative economic impact as a result of the COVID-19 Pandemic* This field is required.This can be defined in many different ways - some examples may be changing jobs due to layoffs, closing business temporarily, pivoting product/type of service provided, having to change career paths, or other economic impact etc. Everyone was effected in some way due to COVID-19 - the next question will ask how you and your business were impacted.

Yes

Please explain how you and/or your business were disproportionatelty negatively economic impact as a result of the COVID-19 PandemicThis may include lessening hours, being forced to close, changing jobs, etc.

Can you attest to the following statement - your business has had diminished access to credit on reasonable terms as compared to others in comparable economic circumstances, due to any of the below - please select all that apply:

Subjected to racial or ethnic prejudice or cultural bias within American society

Gender

Veteran Status

Limited English proficiency

Physical Handicap

Long-term residence in an environment isolated from the mainstream of American society

Membership of a federally or state-recognized Indian Tribe

Long-term residence in a rural community

Persons with disabilities

Members of religious minorities

Identify as lesbian, gay, bisexual, transgender, and queer (LGBTQ+) person

Identify as otherwise adversely affected by persistent poverty or inequality

I hereby certify the information in this form is accurate to the best of my knowledgeBy sigining this form you also agree to the Small Business Support Hub Privacy Policy which can be viewed here: https://purelansing.sharepoint.com/:b:/s/leap/EdGuF0QePmpLqZlzs2YXivMBJUAhUkrLGGztu0gAhCrZRw?e=v2PNjn

Clear