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RISE Incubator Program – Application Form
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Roosevelt University - Village of Schaumburg Partnership
Program Term: June 2 - December 31, 2025
Location: Roosevelt University Schaumburg Campus, 1400 N. Roosevelt Blvd., Schaumburg IL
Please complete form below:
Personal Information
First Name:
Last Name:
Phone Number:
Email Address:
Business Information
Business Name:
Business Address:
Website (if applicable):
Type of Business:
Brief Description:
Year Established:
Legal Structure:
Legal Structure:
Sole Proprietorship
Partnership
LLC
Corporation
Other:
Please Specify:
Number of Employees:
Full Time Employees:
Part Time Employees:
Annual Revenue (last fiscal year):
Primary Funding Sources:
Primary Funding Sources:
Personal Savings
Loans
Investors
Grants
Other:
Please Specify:
Areas of Support Needed (check all that apply):
Areas of Support Needed (check all that apply):
Business Planning and Strategy
Marketing and Customer Outreach
Financial Management
Legal and Regulatory Compliance
Access to Capital
Digital Presence and E-commerce
Networking Opportunities
Mentorship
Intern Support
Other:
Please Specify:
Previous Incubator/Accelerator Experience?
Previous Incubator/Accelerator Experience?
Yes
No
If Yes, Explain:
Willing to commit to full duration of the program?
Willing to commit to full duration of the program?
Yes
No
Do you need any special accommodations or needs?
Do you need any special accommodations or needs?
Yes
No
Please Specify:
Declaration: I certify the information provided is true and understand that submission does not guarantee acceptance.
Signature:
Today's Date:
Submit