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APPLY TO ICA

Currently, ICA only works with companies located in the 9 Bay Area counties – Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara and Solano.
 

Page 1:  We'd like to know a bit more about you. All of your answers are stored securely, strictly confidential, and never shared with anyone outside of ICA.

GENERAL INFORMATION







Page 2:  We'd like to know a bit more about your company. All of your answers are stored securely, strictly confidential, and never shared with anyone outside of ICA.

ABOUT YOU

This response helps with our impact data reporting.

This response helps with our impact data reporting.



This response  helps with our impact data reporting.





ABOUT YOUR COMPANY







FINANCIAL PERFORMANCE & MANAGEMENT
2019 2020  2021(P)
Gross Revenue



Please include your Cost of Goods Sold, if applicable.



CAPITAL NEEDS & FUTURE GROWTH




Examples: Hire key staff, buy equipment, move into new facility/office. etc.



Based on next years projections, please share how you will reach your projected revenue with as much detail as you're comfortable sharing. Or, if strengthening your business foundation, please explain how.

Please share your ultimate vision for your company and for yourself as the owner.
FOUNDERS, OWNERSHIP & MANAGEMENT TEAM



Percentage of Ownership
You
Business Partner(s)
Individual Investor(s)
Institutional Investor(s)


Who is on your team?

Companies will get the most out of the program if they have strong management support to run the day-to-day of the business while attending ICA programs and engaging strategically. 


Name Title Description of Role Are they full time? (Y/N)

Page 3: We'd like to know a bit more about the jobs, wages and business challenges at your company. All of your answers are stored securely, strictly confidential, and never shared with anyone outside of ICA.

JOBS
2019 2020  2021 (P)
# of Full Time Employees
# of Part Time Employees
# of Independent Contractors
To the best of your ability, please tell us about the demographics at your company:




CURRENT BUSINESS CHALLENGES