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2022 ICCC Application Form

2022 ICCC Application Form

Thank you for your interest in ICCC! Please fill out the below application for the 2022 ICCC program. Once you submit the application, it will direct you to a website where you can select a time for a phone interview with an ICCC representative. We look forward to speaking with you! As a reminder, ICCC works with businesses with the following qualifications:
  • Be an independent, for-profit or non-profit corporation, partnership or proprietorship.
  • Have its headquarters or more than 51% of its physical operations located in an economically-distressed area OR have more than 40% of employees residing in an economically-distressed area.
  • Have revenues for the past three years, and a minimum of $150,000 in at least one of those years
  • Have been in operations for three years or more and must be past the proof-of-concept stage. ICCC does not accept start-up companies.

Please note that all the following cohorts and their respective schedules will be hosted virtually except for the Houston & Indianapolis Opening Seminars. If you do not see your city listed, select either the cohort closest to you or the cohort for which you’re available. For example, if you are from St. Louis, you can either select the Chicago cohort or another cohort whose dates work for you.
 
ICCC Cohort  Opening Seminar Dates Language Interpreting Services Offered
Chicago, IL Tues. May 24th & Thurs. May 26th  
Philadelphia, PA Tues. June 7th & Thurs. June 9th  
Indianapolis, IN Wed. June 15th (In Person) Spanish
Memphis, TN Tues. June 21st & Thurs. June 23rd  
Boston, MA Mon. June 27th & Wed. June 29th  
Baltimore, MD Tues. June 28th & Thurs. June 30th  
Southern CA Tues. July 12th & Thurs. July 14th  
Atlanta, GA Tues. July 19th & Thurs. July 21st  
New Jersey Tues. July 26th & Thurs. July 28th  
Northern CA Tues. August 2nd & Thurs. August 4th  
Western MA Tues. August 9th & Thurs. August 11th  
Hawai'i Tues. August 16th & Thurs. August 18th  
Pacific Northwest Tues. August 23rd & Thurs & August 25th  
Washington DC Tues. August 30th & Thurs. Sept. 1st  
Canada 1 Tues. Sept. 20th & Thurs. Sept. 22nd French
Dallas, TX Tues. Sept. 27th & Thurs. Sept. 29th  
Houston, TX Tues. Oct. 4th & Thurs. Oct. 6th (In Person)  
St. Louis, MO Tues. Oct. 11th & Thurs. Oct. 13th  
Canada 2 Tues. Oct. 18th & Thurs. Oct. 20th French
Latinx Cohort Tues. Oct. 25th & Thurs. Oct. 27th  Conducted in Spanish
Colorado Mon. Oct. 31st & Wed. Nov. 2nd  

 
CEO Information
Please have either the CEO or highest executive complete the application. 
3. CEO's Pronouns of Choice: *This question is required.
4. CEO's Gender Identity *This question is required.
5. CEO's Race/Ethnicity: *This question is required.
This question requires a valid email address.
Please type your phone number in the following format: (617) 238-3019.
(The Houston and Indianapolis opening seminars will take place in person. All other opening seminars will take place virtually.)
 Company Information
Please write 2-3 sentences explaining what your company does.
If you no longer have a physical address and are working remotely, please use the address of your remote office.
Please only capitalize the first letter
If you do not have a company website, please feel free to enter your company's Facebook page. If you do not have either, please enter "N/A."
16. Please select all that apply to your business. *This question is required.
17. Please select all that apply to your business. *This question is required.
Please select all certifications that your company has obtained through federal, state, or local government or private third-party. *This question is required.
19. Do you sell or provide cannabis/CBD products? *This question is required.Businesses who sell or provide cannabis/CBD products are permitted to participate in select ICCC cohorts. A member from the team will follow up on which cohorts you can attend.
This question requires a valid number format.
Company Employment, Revenue, and Capital Needs Information
This question requires a valid number format.
This includes any 1099 employees (Independent Contractors). This question requires a valid number format.
This question requires a valid number format.
This includes any 1099 employees (Independent Contractors). This question requires a valid number format.
25. Do you expect to hire/rehire employees in the next 12 months? *This question is required.
This question requires a valid number format.
If you are a non-profit, please list your operational budget.
Provide your Gross Revenue (total amount of revenue earned in 2021 without any expenses taken out).
Please type in only numbers. If you type your revenue with letters, such as $5k or $2M, you will receive an error.
This question requires a valid currency format.
Provide your Net Income (profit remaining after all expenses and costs have been subtracted from your revenue). This question requires a valid currency format.
This question requires a valid currency format.
This question requires a valid currency format.
29. Compared to your 2021 year-end revenue, do you expect your 2022 revenue to: *This question is required.
Please use complete sentences.
Please use complete sentences.
32. Have you received any of the following types of emergency capital since the COVID-19 pandemic began? *This question is required.
This question requires a valid currency format.
33. Which of the following best describes your interest in capital? *This question is required.
34. Do we have your permission to share your contact information with fellow participants prior to the Opening Seminar? *This question is required.This includes your email address and contact first and last name. 

PROTECTION AND USE OF APPLICATION DATA POLICY

This application asks for confidential business information, which we use to evaluate your application. Confidential and proprietary financial information and business plans will be fully protected and access to them will be strictly limited to ICIC personnel. This application also asks for personal information such as the applicant’s name and contact information. We use your personal information for contact purposes and to evaluate your application. This personal information may be shared with ICIC program sponsors, nominating partners, and other program participants. You can opt out of having your personal information shared. If you would like to opt out, please email iccc@icic.org or call us at (617) 238-3019.

Additional information about how we use your personal information, and your rights regarding your personal information, can be found in ICIC’s complete privacy policy, which is available here. You should review ICIC’s complete privacy policy before submitting this application. By submitting this application, you consent to the terms of ICIC’s complete privacy policy and to the terms of this Protection and Use of Application Data Policy.