AMP NYC Application

Thank you for your interest in the Accelerator for Media Pros (AMP) NYC Program! In order to be eligible for the pilot program, you must:

Have an operating business for more than an year
Have at least two full time employees including the owner.

If eligible, please fill out the following form.

* Indicates required fields

Business Owner Name*

Name of your business or proposed business*

Business website*

Company Address (or alternative address if you have not established your business)*

Address Line 2

City*

State*

Zip Code (plus four code optional)*

Borough*

County

Phone Number(extension optional)*

Email Address*

Business Sector*

Date your business was founded or began operations (month and year):*

Number of Full-Time Employees:*

What range was your business revenue last fiscal year?

What is your projected annual revenue for this year?

Is your business any of the following: (Select all that apply)

Minority Owned*

Yes	No	Unknown

Woman Owned:*

Yes	No	Unknown

Is your business Certified as a Minority and/or Women-Owned Business Enterprise (M/WBE) with the City of New York?*

Please select the statement that best describes your business growth stage:

I am a business owner just making ends meet
I am a small business owner that has positive cash flow, but not enough profit to grow
I am a small business owner trying to harness my resources to continue growing
I am a small business owner focusing my time on future growth strategies to continue our upward trajectory
I am a small business owner making a transition from a small or medium business into a larger enterprise
Other

Why are you interested in the program?

Support and coaching from industry leaders and experts
Access to tools and resources
Learning how to navigate and respond to emerging trends
Expanding your audience and network
Transforming the way you do business
Please note: requests must be made no later than 72 hours prior to an event/meeting.

From the above question, explain why you've selected this and how this relates to your business. *

Which business area do you need most support?*

B2B Connections
Brand Positioning
Pitching to investors
Client Pitching
Digital Marketing
Revenue Models
Identifying success metrics
Client retention

From the above question, explain why you've selected this and how this relates to your business. *

How did you hear about this opportunity? *

Thank you for filling out your information!

If eligible, a SBS representative will reach out to you within 2 to 3 business days with next steps in the application process.

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