JAX Bridges: Bridge to Business alerts
Applicant Data
First Name
Last Name
Organization
Email
Phone Number (Business)
Phone Number (Cell)
Headquartered in Northeast Florida
Please select...
Yes
No
Contact Preference
Please select...
Cell
Email
Phone
No Preference
Business Descriptors:
Your industry
Please select...
Aerospace & Defense
Agriculture
Automotive
Business/Management Services
Chemicals
Construction
Consumer Goods & Services
Electric Power Industry
Energy Industry
Financial Services
Firearms & Explosives
Food & Beverage
Health Care
Housing & Real Estate
Manufacturing
Mining & Drilling
Nuclear Power Industry
Oil and Gas Industry
Pharmaceuticals & Biotechnology
Printing & Publishing
Technology (General)
Telecommunications & Media
Transportation & Logistics
Other
Business Size (Employees)
Please select...
1 (Self employed)
2-9 Employees
10-49 Employees
50-100 Employees
101-499 Employees
500+ Employees
Business Size (Revenues)
Please select...
Not revenue generating yet
1-$500k
$500k to $1 million
$1 million to $5 million
$5.1 million to $10 million
$10.1 million to $20 million
$20.1 million to $49 million
$50 million or more
JAX Chamber Member
Yes
No
How would you characterize your participation on the portal?
Please select...
Creating business contract opportunities/I have opportunities for others
Creating contract employment opportunities/I have opportunities for others
Seeking business contract opportunities
Seeking contract employment opportunities
What are your JAX Bridges interest
Access to Capital Opportunities
Business Portal/Opportunities
Entrepreneurial and Enterprise Matchmaking
Entrepreneurial Education Program
Entrepreneurial Teaming
Mentoring Opportunities
Opportunity to give back as a successful entrepreneur
Receive periodic updates
Comments
Note: The completion of this
application does not guarantee acceptance to the program.
Need assistance with this form?