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CAP/NYCEO M/WBE Mentorship Program Application

Deadline: March 22, 2019

The CAP/NYCEO M/WBE Mentorship program is open to Minority- and/or Women-owned Business Enterprises (M/WBEs) located in the NYC area. Selected participants will be placed in groups of 1 - 3 and matched with one mentor for a 32-week engagement.

We are looking for high-growth potential Professional Services, Standard Services or Goods companies (no construction firms please). For more program details, please visit the CAP/NYCEO Mentorship Program description and FAQs.

Applicant Business Requirements:

Applicant must be owner or have majority ownership in company
Minimum 3 years in operation
Ideally, at least 2 employees (including yourself)
Steady growth for last 2 years
Annual revenue range between $150,000 and $1M
Professional Services, Standard Services and Goods firms only, no construction firms
If business is a M/WBE, must be NYC-certified or eligible to apply for NYC-certification (certification application MUST be submitted before start of program)
All applicants must submit a resume, and business plan, growth plan, company profile, and/or capabilities statement. You can upload files at end of application.

This application cannot be saved once started. We suggest you allot at least 15 - 20 minutes to fill out the application and be prepared to complete it in one session.

* Indicates required fields if not applicable, please enter "N/A"

Section 1: Company Information

Business Name*

Business Street Address*

Business City*

Business State*

Business ZIP Code (plus-4-code optional)*

Business Phone Number (extension optional)*

Business E-mail Address*

Business Website

What date was your business started?*

Is your business headquarters located in one of the five boroughs of New York City?*

Is your business based in your home?*

Do you work full-time in the business?*

What is your business sector?*

What is the total number of employees that worked for the business in the last year?

Full-Time*

Part-Time*

Is your business certified as a M/WBE with the City of New York?*

What other M/WBE certification does your Company possess (check all that apply)*

NY State
NMSDC or NY/NJ MSDC
Federal or 8(a)
Port Authority of NY/NJ
School Construction Authority
Women's Business Enterprise National Council (WBENC) or Women Presidents' Education Organiztion (WPEO)
No Other Certification

(To apply for M/WBE certification with NYC, go to NYC.gov/getcertified.)

Does your company possess the proper licenses and permits to operate in the City of New York?*

To find out more information about required licenses and permits, please go to NYC.gov/business

What are your annual gross revenues for the years indicated below? If the year is not applicable to your business, enter "N/A" in the amount field.

2018*

2017*

2016*

Proof of company revenue will be required prior to acceptance into program. Should you be granted an interview, you will be required to provide your last two years of tax returns for verification purposes.

Does your business currently owe any back taxes to New York City or have any liens against it?*

Section 2: Applicant Information

Applicant First Name*

Applicant Last Name*

Applicant Gender*

Title/Position in the Business*

% of Business Ownership*

How many years have you owned the business?*

Applicant Home Address*

Applicant City*

Applicant State*

Applicant ZIP Code (plus-4-code optional)*

Applicant Mobile Phone*

Applicant Personal Email*

Are you proficient in English?*

Section 3: Applicant Work History

Are you a citizen of the United States and/or legally allowed to work in the United States?*

How many years of prior experience do you have in the business sector in which your company operates?*

Are you planning to start another business within the next 12 months?*

Please list your employment history

Employer 1*

Title/Position*

Employment From/To*

Employer 2*

Title/Position*

Employment From/To*

Describe the product(s)/service(s) you sell (be as detailed as possible)

Describe your customer(s) (size, sector, consumer versus business, target demographics)

What are the two most pressing issues/challenges that your business currently faces?

Please explain how mentorship would benefit you and/or your business

Have you ever been professionally mentored before?

What are the top three priorities for your business for this upcoming year?

If selected for this program, what would be the three top issues you would work on with your mentor?

What traits/characteristics are you looking for in a professional mentor?

Since this program is an offering under the Corporate Alliance Program, it focuses on corporate contracting opportunities. Are you interested in corporate contracting opportunities? If so, what type of education/training would help you to successfully compete for these opportunities?

If you had access to a corporate procurement representative, describe what you would work on and how you would work with this person

If you had access to a corporate executive with subject matter expertise, what specific business challenge (i.e. marketing, accounting, financial, etc.) would you work on with this person?

Do you have any other commitments that would interfere with your participation in this program over the next 7 - 8 months?*

Do you have a current growth plan for your business? If yes, please upload at end of application*

Section 4: Additional Information

Are any of the principals of your business affiliated with the NYC Department of Small Business Services (SBS) or work for/with any organization that holds a contract that is managed by SBS?*

Are any of the principals of your business affiliated with Entrepreneurs' Organization?*

How did you hear about the CAP/NYCEO Mentorship Program?*

Section 5: Upload Documents

If available, please upload a copy of your resume and/or your business plan/growth plan/company profile/capabilities statement as indicated below. If you do not upload these documents here and are granted an interview, you will be required to bring them with you at that time. The total size of all attached files must be under 3 MB.

Please upload your resume Browse

Please upload your business plan/growth plan/company profile/capabilities statement Browse

Auxiliary aids and services are provided for individuals with a disability upon request. Please check the aid/service(s) that you need:

Accessibility for wheelchairs/other mobility devices
Sign Language Interpreter
Induction Loop System
Assistive Listening System
Braille
Large Print
Real Time Captioning
Other
Please note: requests must be made no later than 72 hours prior to an event/meeting.

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