CANDIDATE APPLICATION
NMCC will select ventures for NEIR participation through dialogue and a written application. This will help both NMCC and the entrepreneur determine whether these criteria can be met:
1. The entrepreneur must be a U.S. citizen and defined as a member of a federally recognized Native American tribe
2. The proposed venture must have the potential to develop into a viable business capable of creating jobs. 3. The entrepreneur must be a dedicated, self-motivated individual. Prospective NEIR’s will be required to
submit their business idea, reasons for why they want to pursue the opportunity, and key milestones in developing their plan and moving their business forward.
4. The resources NEIR provides must be able to help catalyze the success of the business.
Please attach Resume, Business Plan, Financial Documents or any other documentation that might help tell us who you are and what your business entails.
This Part of the Application provides the candidate’s contact information and will be used to contact candidates before, during and after the training program.
Please type or print clearly.
Mr. Ms. Other
First Name: Middle Name: Last Name: Jr, Sr. III, etc:
Mailing Address:
City: State: Zip Code:
Email: Telephone
Numbers
Primary Number: ( ) Home Mobile Work Message Alternative Number: ( ) Home Mobile Work Message American Indian Tribal Affiliation:
Employer (if applicable) :
Emergency Contact: Mobile Phone: ( )
Relationship: Home Phone: ( )
PART 1 – Candidate Information
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1. Is your company currently in existence or is this a new start-up? In existence Start-up
2. If in existence, answer the questions below. If a start-up, answer what your vision for the company is. Name of Company:
Website: Industry:
Corporate Structure: Management Structure:
Annual Revenue: Number of employees estimated 5 years in the future: Ownership Percentage: Number of employees currently employed or at start-up: One Sentence Pitch:
Business Summary:
Problem solved or need addressed by business:
Description of Product or Service:
Target Market:
Marketing Strategy:
Competitors:
Competitive Advantage:
PART 2 – Company Information
A. Self-rating of Knowledge and Understanding of Enterprise Development
I consider myself to possess the following degrees of knowledge/understanding of the subjects listed below (5 represents very knowledgeable, 0 represents no knowledge):
B. Self-rating of Candidates Qualifications
I consider myself to possess the following degrees of leadership attributes: (5 represents high degree, 0 represents low degree):
High Low High Low
Subjects: 5 4 3 2 1 0 Qualities: 5 4 3 2 1 0
Entrepreneurs in American Economy Winning Attitude
Market Analysis Good Verbal Communication skills
Feasibility Analysis Desire to learn
Developing a Business Plan Mental Stamina
Goal Setting Alertness
Team Building & Organizational Development Flexibility
Management Confidence
Small Business Technical & Financial Resources Cheerful, Positive Personality
Sales and Pricing Strategy Considerate of Others
8-A Certification Requirements Good Physical Condition
E-commerce, Internet Sales Motivation to be Successful, to Make a Profit
Native Art, Dance, Theatre, etc. as a Business Willingness to take a Calculated Risk
This part requires written statements by the candidates that indicate your reasons for applying, the field in which you wish to start a business, the benefits expected to be gained from this training program and your prior training in enterprise development related subjects. These written statements will also be used to identify training needs and background factors that relate to these needs and will be important criteria used in the final selection. Please use additional pages if needed.
A. Describe your reasons for applying to the Native Entrepreneur in Residence Program. PART 3 – Self Assessment
PART 4 – Candidate’s Purpose for Attending the Training
B. Indicate the Field in which you wish to start a business, your background and/or experience in this particular field, and your reasons for starting this type of business.
C. Describe the Skills you expect to acquire and how the Native Entrepreneur in Residence Program will enhance your ability to plan and manage a small business.
D. List prior training in which you have participated, focusing on entrepreneurship or economic development or in a related field during the past five (5) years.
PART 4 – Candidate’s Purpose for Attending the Training
I, _______________________________________ hereby certify that the information contained in this
application is accurate to the best of my knowledge.
Please initial:
_____ I understand that this application will only be considered if it is complete and submitted by
specified due date
_____ I understand that I will be required to participate in Native Entrepreneur in Residence Program
intake / eligibility process, which includes but is not limited to verification of American Indian
heritage, income, and selective service registration (if male)
_____ I understand that, if selected, I will be required to submit a statement from my physician /
medical provider if special accommodations are needed.
_____ I understand that I will be required to attend four (4) sessions and the New Mexico Community
Capital will make all travel arrangements and pay for associated expenses, if needed, for
ELIGIBLE program participants in accordance with federal travel regulations; if I am NOT
eligible, I may still attend training if selected but will need to use non-NMCC financial resources
for travel expenses and a fee may apply.
_____________________________________
____________________________
Candidate’s Signature
Date
Upon Completion of Application, return via email to [email protected] or mail to: 801 University
Blvd. SE, Suite 102, Albuquerque, NM 87106
PART 5 – Certification
