Entrepreneur Academy 2025 Application

Contact Information

Name *

First

Last

Date of Birth *

Email *

Phone *

Residential address or Business if applicable. *

Address Line 1

Address Line 2

City

State

Zip Code

Voluntary Self Identification

Which gender do you identify with the most?

Female
Male
Not listed
I prefer not to answer

Which of the following best describes you?

Are you a military veteran?

Yes
No
I prefer not to answer

If program capacity permits, one business partner may join you in the program. Please provide your partner’s name if you would like to include them.

First

Last

Please note: We cannot guarantee space for business partners. Additional participants may be considered only if space allows.

Venture

Industry of Your Business Idea *

Other:

What stage is your business currently in? Please select the option that best describes your current phase:

Idea or planning stage (no legal business entity yet)
Legal business entity, not yet operational
Operating business, less than one year in business
Operating business, more than one year in business

Business Plan

Please write in OR upload an inital business plan below.

This does not need to be a formal document, but it should clearly summarize your business idea, your goals, and how you plan to move forward.

You may choose to include:

Working business name (if applicable)
Background or origin of the business
Team members and their roles
Business location
Target customer or audience
Existing marketing channels (e.g. website, social media, print)
Key strengths and challenges
Short- and long-term goals

This helps us understand your starting point and your vision for the business.

Write in your business plan here:

Upload your business plan here:

Click or drag a file to this area to upload.

Upload a pdf or word document version of you business plan here. This is not required if you already wrote your plan in above.

Describe any progress you have made. You may also include any educational, work, or life experience you may have related to your idea. If you just have an idea, that is OK. *

Please write approximately 1 paragraph.

Why would you like to participate in the Chamber of Commerce of Eastern Connecticut Entrepreneur Academy? *

Please write approximately 1 paragraph.

How did you hear about this program? *

From what other source did you hear about this program?

Which social media platform?

Do you have any other information you would like to share? (ex. website links, social media, news articles)