Request Occupancy - Shoals Entrepreneurial Center

Request Occupancy

Tenancy Application - The Shoals Entrepreneurial Center
"The Business Center for Entrepreneurs"

This application for tenancy in the Entrepreneurial Center
must be completed in its entirety for prompt consideration.
Additional information may be requested as part of the
application process. Proprietary information will be
treated as confidential.

Please complete all fields and provide as detailed information as possible.

Name of Company:
Name of Person Completing Application:

Should a lease be ratified, who will be responsible for the applicant company's operations at the Entrepreneurial Center?

Primary Contact:

Name:
Title:
Social Security #:
Home Address:
City, State, Zip:
Home Phone:
Cell Phone:
E-Mail

Secondary Contact:

Name:
Title:
Social Security #:
Home Address:
City, State, Zip:
Home Phone:
Cell Phone:
E-Mail

Who will be legally responsible for the lease if one is ratified?

Describe your company's operations that you propose to locate at the Entrepreneurial Center:

The company proposes to have a(n):

Manufacturing Plant	Assembly Plant	Service Center
Showroom	Administrative Office	R & D Center
Employee Training Center	Distribution Center

How is Your Company Structured?

Sole Proprietorship	Incorporated	Partnership

How Many Years has the business filed tax returns?	Which States?	What year did you first file with the IRS as a partnership?

List All Officers:	On What Date?	List All Partners:

	Name any corporate parent:

	List the officers:

Present Address of Your Company:
City, State, Zip:

Business Telephone Number:
Business FAX Number:

Federal Tax ID Number:

Professional Assistance Required:
Check all that apply:

	Clerical		Marketing		Accounting
	Legal		Computer		Engineering

A written Business Plan is required before approval.

Do you require assistance to complete the plan?

How much space do you need?

What are your site criteria?

Office Space:
If industrial/manufacturing needed, skip this section:

List the office equipment that you will have on site:

List your other criteria:

Industrial / Manufacturing Space:

How many square feet do you need?
List your needed capacity for:
Electricity:
Natural Gas:
Water/Sewer:

List all machinery that will be used:

List your other criteria:

List any flammable, volatile, or toxic chemicals you propose to have on site at any time:

How will you dispose of your hazardous materials that cannot be legally placed in the sewer system, trash dumpster or landfill?

Define your reason for selecting the Entrepreneurial Center as a site:

When do you desire to begin a lease (should one be ratified)?
When do you anticipate needing additional space?
How many employees will be on site initially?
Projected number of employees to be on site at the end of the year?

List three credit or business references which may be contacted on a confidential basis.

Bank:	Credit Reference:	Credit Reference:
Bank Name:	Business Name:	Business Name:

Principal Contact:	Principal Contact:	Principal Contact:

Phone Number:	Phone Number:	Phone Number:

Type of Account:	Type of Account:	Type of Account:
Business Account Personal Account

Additional Comments:

Submission of this application is only to allow the Entrepreneurial Center to consider leasing space and/or extending services to the listed applicant. In no way does the issuance or acceptance of an application guarantee that a lease proposal will be extended and/or ratified. Data may be extracted for statistical compilation purposes. The Entrepreneurial Center's Board of Directors makes the final determination on applications and lease ratifications.

I have completed this application in its entirety and certify to its accuracy and release this information to the Shoals Entrepreneurial Center.

Please type your initials here. Typing your initials constitutes an electronic signature, the same as an in person signature.

Name:
Title:
Date: