Apply Today - Bangor Innovation Center

Apply

If you would like to become a member of the Bangor Innovation Center, please complete the following application.

Company Name *

Current Company Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Company Phone *

Contact Person's First Name *

Last Name *

Contact Person's Title *

Contact Person's Email *

Is this a new business, or existing business? *

Office Space Needed (sqft) *

Manufacturing Space Needed (sqft) *

Electricity Needs *

Water Needs *

Waste Disposal Needs *

How many employed immediately? *

# Full Time, # Part Time

How many employed at one year? *

# Full Time, # Part Time

How many employed at two years? *

# Full Time, # Part Time

What are your operating hours? *

Ownership Structure *

Identify the source of any startup funds you may have? *

Describe Materials and Methods employed while using the incubator. *

Will your company use hazardous, toxic, or noxious materials? *

Please attach the resumes of your chief operating people *

Click or drag files to this area to upload. You can upload up to 10 files.

Please attach description and/or business plan for your business *

Click or drag a file to this area to upload.

Please attach current financial statements of the company *

Click or drag files to this area to upload. You can upload up to 10 files.

Please attach current financial statements of anyone owning 20% or more in the company *

Click or drag files to this area to upload. You can upload up to 10 files.