Name
Company
Email
Phone
Please complete this form as it relates to the assistance that you've received from the Boulder SBDC and/or the Colorado SBDC TechSource program.
If yes, what was your estimated start date?
How many FULL-TIME employees do you currently have? Include owners in this number.
How many PART-TIME employees do you currently have? Include owners in this number.
How many FULL-TIME jobs have you retained?
How many PART-TIME jobs have you retained?
Please estimate your sales increase over the last year (in dollars)
Loans: Please fill in the fields below for any loans obtained. Include any COVID relief funding. Please put each loan in as a separate entry.
Loan Amount (i.e. $15,000)
Loan Type (i.e. Energize CO Gap Fund)
Lender (i.e. SBA)
Loan Amount (i.e. $15,000)
Loan Type (i.e. Energize CO Gap Fund)
Lender (i.e. SBA)
Loan Amount (i.e. $15,000)
Loan Type (i.e. Energize CO Gap Fund)
Lender (i.e. SBA)
Loan Amount (i.e. $15,000)
Loan Type (i.e. Energize CO Gap Fund)
Lender (i.e. SBA)
Owner Investment: Please fill in the fields below for any investments you/the owner(s) have made in the business. Indicate total dollar amount for each.
Equity Cash
Credit Card
Personal Assets
Grants: Please fill in the fields below for any grants you've received. Do NOT include any SBIR/STTR or Advanced Industries grants in your response.
Grant Amount (i.e. $25,000)
Grant Type/Donor (i.e. EDC)
Grant Amount
Grant Type/Donor
SBIR/STTR Proposals SUBMITTED:
Agency (i.e. NSF, NASA)
Amount (i.e. $350,000)
Agency
Amount
Agency
Amount
Agency
Amount
SBIR/STTR Proposals AWARDED:
Agency (i.e. NSF, NASA)
Amount (i.e. $350,000)
Agency
Amount
Agency
Amount
Agency
Amount
Non-SBIR/STTR Grants SUBMITTED: Please fill out the fields below for any NON-SBIR/STTR grants SUBMITTED, such as Advanced Industries grants.
Grant Amount (i.e. $250,000)
Type/Donor (i.e. OEDIT Early-Stage Capital & Retention Grant)
Grant Amount
Type/Donor
Non-SBIR/STTR Grants AWARDED: Please fill out the fields below for any NON-SBIR/STTR grants AWARDED, such as Advanced Industries grants.
Grant Amount (i.e. $250,000)
Type/Donor (i.e. OEDIT Early-Stage Capital & Retention Grant)
Grant Amount
Type/Donor
Contracts:
Contract Amount (i.e. $50,000)
Type (i.e. Private/Commercial, DoD Prime, Federal Sub)
Contract Amount
Type
Contract Amount
Type
Contract Amount
Type
How can we help you and your business moving forward?
Electronic Signature (Please type your name).
Submit