Application Please complete the following application and a representative from Our REBUILD will contact you shortly. Business Owner InformationPlease enable JavaScript in your browser to complete this form. - Step 1 of 7Name *FirstLastBusiness / Organization *Home Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *NextHow many owners (>20% ownership) does your business have? *Does a second owner plan on attending Our Rebuild workshops?YesNoSecondary Owner Name *FirstLastSecondary Owner Email *Basic Business InformationAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneNextBasic Business Information (cont.)Please describe how you use social media for your business (if applicable) *If available, please select whether you have a company website and/or social media handles.I have a business...WebsiteFacebook pageInstagramTwitter accountYelp pageYouTube channelLinkedIn pageIf you have business accounts on other social media platforms, please list them belowBusiness Website URLBusiness Facebook URLOther URLIs your business registered with any of the following? Check all that apply:State of Michigan / LARAEmployer ID NumberNot YetPlease share the date you registered with the Michigan Department of Licensing and Regulatory Affairs (LARA). To find the information regarding your business and LARA, please follow this link: https://cofs.lara.state.mi.us/SearchApi/Search/Search *What is your LARA ID number? To find the information regarding your business and LARA, please follow this link: https://cofs.lara.state.mi.us/SearchApi/Search/Search *NextApplication Questions / UploadWhat do you do? *Tell us about your businessHow do you do it? *Tell us about your processes (Example: resources you utilize to produce your product.) How do you provide your service to your customers?Why do you do it? *Describe why you chose to be in this line of business.Why are you the right person to do it? *Describe your skillset / mindset to lead the operations for this business.Why do you want a brick-and-mortar location for your business? *NextApplication Questions / Upload (cont.)Describe how your retail business fills a need or will create a demand. In essence, how do you know your location will have customers? *Describe the customers you currently serve, If multiple segments, describe first and/or second one.Describe your team and corresponding experience for your industry and/or retail. *The number of years of experience related to your business and the number of team members.What skills are you and/or your team missing? How will you address this issue? *What steps have you already taken towards opening your brick-and-mortar location? What steps do you need to take from here? *Examples: a history of e-commerce / pop-up vendor sales, already have a location outside the city, idea stage, etc...How much money will you need to open your brick-and-mortar location? How much money do you need to raise? What is your plan for raising capital? *If you do not know these answers, that is okay. The program will help you. Please share any preliminary thoughts.Next2019 Sales InformationDid you make any sales in 2019? *YesNoWhat were your sales for 2019?How did you generate these sales in 2019? Please check all that apply.In-storeWholesaleOnline (e.g. website, Instagram, Facebook, Pinterest)Pop-up Events (e.g. markets, community centers, church events, etc..)If you generated sales in 2019 via a method not listed, please describe below2020 Sales InformationDid you make any sales in 2020? *YesNoWhat were your sales for 2020?How did you generate these sales in 2020? Please check all that apply.In-storeWholesaleOnline (e.g. website, Instagram, Facebook, Pinterest)Pop-up Events (e.g. markets, community centers, church events, etc..)If you generated sales in 2020 via a method not listed, please describe below2021 Sales InformationHave you made any sales in 2021? *YesNoWhat is your year to date sales in 2021?How have you generated these sales in 2021? Please check all that apply. In-storeWholesaleOnline (e.g. website, Instagram, Facebook, Pinterest)Pop-up Events (e.g. markets, community centers, church events, etc..)If you have generated sales in 2021 via a method not listed, please describe belowWhat is your plan to generate sales for the remainder of the year?NextSummaryWhat do you hope to gain from participating in the program?How did you hear about the program?Referral NameFirstLastShort Video IntroductionIt is all about you. Please paint a picture about your business and why customers will be waiting in line on day one (3 minute maximum). Upload video to YouTube and provide link. Instructions on how to upload to YouTube: http://bit.ly/2fAb3MRPlease provide business documentation that showcases your stage of operations * Click or drag files to this area to upload. You can upload up to 5 files. Examples include business plan/executive summary, sales numbers, profit and loss document, lease agreement, letter of intent, press articles, etc... Participant Expectations Upon Acceptance (Please read and acknowledge each point by clicking on the box next to the statement): *OPEN COMMUNICATION: I acknowledge weekly sessions are a peer-to-peer learning environment and participation is critical for successful program completionRECEPTIVE TO FEEDBACK: I accept that giving and receiving constructive feedback are critical to the growth of my businessFINAL SHOWCASE AWARD FUNDS ELIGIBILITY: Completion of all required action assignments, full attendance at all weekly sessions, and marketplace participationPERMISSION TO SHARE: I give permission to Our REBUILD to share my experiences with the program.Full agreement on all points listed is required to be eligible for the program.Please provide any additional information that will help us better understand why you are a good fit for the program.Those selected will be required to sign a Participation Agreement with a payment of $499 due prior to the first workshop.Submit Email Us info@ourrebuild.org