All fields are required unless otherwise indicated.
Company Information
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Financial Information
  2015 (Actual) 2016 (Actual) 2017 (Projected) 2018 (Projected)
Management Team
  First Name Last Name Title Ownership %
Finance Sought
  • What type of financing are you seeking?  (check all that apply)

    • Other (please specify)
  • What part of the program are you most interested in?  (check all that apply)

    • Other (please specify)
**Inner City Capital Connections Statement of Confidentiality: This application asks for confidential information. Contact information will not be used for other subscriptions, outreach, or marketing without explicit written permission. Application information will not be made available to third parties, except in the form of publications and presentations that do not identify the companies or funds by name, and in which findings and results are presented only on an aggregated basis. Financial information and business plans will be protected and access to them will be strictly limited.