GCS GREENHOUSE APPLICATION

This questionnaire is intended to collect some basic information in order to understand your project; it is meant to cover both green start-up companies as well as sustainability initiatives within existing companies. Once we’ve reviewed this questionnaire, we will meet with you for an initial screening; we will then take some time to assess the fit between your project and our program, and if both you and our team answer that question affirmatively, we’ll move into the accelerator phase.

1 CONTACT INFORMATION

Company Name:
Company Website:
Company Address / Street:
City
State/Zip
Contact Person / Name:
Title:
Phone:
Cell:
Email:
How Did You Learn About Us?

2 MANAGEMENT TEAM

Please Provide Background Information On The Key Members Of Your Management Team. / (in this space, and/or attach bios)

3 DESCRIPTION OF BUSINESS

3a Current Business
Brief DescriptionOf Your Business -Activity, History, Ownership
Current Business / Employees / In the South:
In the rest ofUS:
Elsewhere:
Sales Revenue
Products
Sales Channels
3b Future Business Plan
Please Provide ASummaryOf YourBusiness PlanOr Your Sustainability Initiative / (here, or attach)
Job Creation - Number Of People You Expect To Employ In Three Years / In the South:
In the rest of US:
Elsewhere:
Describe What Qualifies Your New Product/Service, OrYour Initiative, As ‘Green’

4 WHAT DO YOU EXPECT FROM YOUR PARTICIPATION IN THE GCS GREENHOUSE ACCELERATOR PROGRAM

YourProject’sFit With The Greenhouse Accelerator’s Objectives
Your Project’s Needs In Order To Succeed
SupportYou Expect From The Greenhouse Accelerator Program

Once complete, please email this application to .

PLEASE NOTE:
The information provided in this questionnaire might become available to a large number of people - make sure you do not include information that you wish to maintain confidential.

GCS is acting out of a desire to foster the incorporation of sustainability into business practices and to create green jobs. Staff and other chamber members will make referrals but will not represent you or act on your behalf. The GCS does not warrant that they will dedicate any specific amount of time towards your endeavor. The GCS does not take responsibility for any referrals or dealings that result from their assistance. The GCS will attempt to identify potential conflicts of interest between Chamber members and your company, but assumes no responsibility should such conflict arise.