Springboard Application

Thank you for your interest in the Springboard program.
We offer this to entrepreneurs that we believe are on the path
to success, but could use some help from people who have
successfully started and run a business. The goal is to help you
achieve a greater level of success, whether it is to obtain critical
funding, make a successful pivot, or ramp sales.

By answering our questions fully and thinking through your
answers, you can help us to see where we might be able to
help you.

Company Name (optional):
First Name:
Last Name:
Job Title:
Email Address:
Business Phone:
Address
What do you hope to accomplish by participating in Springboard?
Have you formed a company?
Yes, S corp
Yes, C corp
Yes, LLC
Yes, sole proprietorship
Not yet
When was your company founded?
Where is your company located?
How many employees do you have?
None yet
1-3
4-7
7-10
10-30
Over 30
Briefly describe the background and current affiliations of the company founders:
Briefly describe your technology:
What is the status of your intellectual property - patents, trademarks, etc.
Please list the sources and amounts of funds your company has received to date:
Describe your target customer and the market for your product:
Describe your competition and why your product or service is special:
How did you find out about InSoCal CONNECT and the Springboard program?

Thank you for taking the time to fill out the survey and we will be back to you within 72 hours.