TBSI Program Application Form
TBSI aim is to prepare founders, principals, and CEOs with the necessary skills to value their businesses; to discuss financial details with lenders and investors; and to understand, negotiate with, and utilize different capital sources.

We invite you to apply to become a participant in the Technology Business Support Initiative (TBSI) Program @ GNEC. This application is designed to help us get an understanding of your business and see if you are a good fit for the program.
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Name of Applicant Company *
Name of Company CEO/President *
Business Address *
Email *
Phone Number *
This Company is certified as: (Check all that apply) *
Required
Type of ownership (current form) *
Required
Date Business Established *
MM
/
DD
/
YYYY
Current Year's Revenue Estimate *
Projected # Team Members - Current *
Describe the principal products sold, specialties or services offered *
How does your product / service offering differ from the competition? *
Which customers / markets have you targeted for continued growth? *
Reasons for wanting to participate in the TBSI Program *
Please indicate which areas you need assistance with - check all that apply *
Required
How did you find out about the program? *
Please provide a non-confidential executive summary of your business (Copy & Paste) *
Photo/Video Waiver : By clicking, I give permission to GNEC to use any photographs or videos taken during the program or any future  events for use on their website or other promotional material. I understand that GNEC own all photos and videos they take. *
Required
Thank you for your interest in GNEC TBSI Program. A follow up interview will be scheduled with you to discuss your participation in the program.If you have any questions please contact: Abdulai Hussein at Ahussein@gnecorp.org 973-242-4132
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