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Stakeholder Application

Step 1 of 4

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A background check, orientation, and participation in a short prospective stakeholder interview are required with the application process.

Welcome

Submit one business per application. Multiple submissions will be subject to multiple Stakeholder Plans.

Welcome to the Russell Innovation Center’s Stakeholder application!

We’re delighted that you’re applying to become a stakeholder. We are eager to learn more about you as you learn more about us. In the meantime, this application will help us get a sense of who you are as an entrepreneur. Whether you’re a startup or an existing business owner, we encourage you to complete it as thoroughly as possible. We know we’ll be impressed with the incredible skills and values you demonstrate.

Warmest wishes,
RICE Family

RICE Stakeholder Agreement

As part of our application process, we will ask that you complete a background check and participate in a short prospective stakeholder interview so that we can get to know you and your business better. Please note that If you are selected to be a stakeholder you will need to attend an orientation at RICE

5. Stakeholder Plans*

Personal Information

6. Name*
7. Email*
10. Address*
12. Date of Birth*

Emergency Contact

16. Full Name*

Education Background

20. Did you attend an HBCU?

Business Administration

25. Business Address*
(000) 000-0000
Please enter a valid Website URL
If you don’t have an EIN#, then enter N/A.
Accepted file types: jpg, png, pdf, jpeg, Max. file size: 5 MB.
Please upload your proof of incorporation document. You can provide a JPG, JPEG, or PNG file. It must be no larger than 5 MB.
32. Written business plan*
38. Social media handle*

Business Operations

Human Resources

46. Number of Employees*
47. Do you have business insurance?*
48. Do you have life insurance?*
49. Do you have a will?*
50. Do you have healthcare insurance?*
51. Do you have disability insurance?*
52. How many hours a week do you dedicate to your business?*
53. How many hours are you available for business educational programming ?*
54. Do you have employment outside of your business?*

Business Marketing

55. Have you done the market research to test the validity, interest, ranking of your product/ services? (Check all that apply)*

Business Finances

Please enter a number greater than or equal to 0.
Please enter a number greater than or equal to 0.
Please enter a number greater than or equal to 0.
63. Identify the revenue streams currently generated by your business. (Check all that apply)*
64. Have you consulted with a tax professional(s) to create your business?*
65. Have you consulted with the following?*
As part of our application process we will ask that you complete a background check and participate in a short prospective stakeholder interview so that we can get to know you and your business better. Please note that If you are selected to be a stakeholder you will need to attend an orientation at RICE (include orientation link).
Terms and Conditions*
Untitled*
Untitled*

RICE is a business generator serving metro Atlanta, created to support Black entrepreneurs in overcoming the unique barriers they face in building thriving businesses. At 54,000 square feet, RICE is the largest center of its kind in the United States. Our BIG IDEAS model meets every business owner where they are on their journey, fortifying them with a community of support, increasing access and exposure, focused on transformational change. RICE honors the legacy and visionary leadership of one the greatest entrepreneurs the city of Atlanta ever produced, the late great Herman J. Russell.

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