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2020 ICCC Application Form

Thank you for your interest in ICCC! Please fill out the below application for the 2020 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!

Please note that all the following cohorts and their respective schedules will be hosted virtually. 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
   
Houston February 21 
Please write 2-3 sentences explaining what your company does.
This question requires a valid number format.
This question requires a valid email address.
Please type your phone number in the following format: (617) 238-3019.
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.
18. Please select all certifications that your company has obtained through federal, state, or local government or private third-party. *This question is required.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid number format.
22. Do you expect to hire additional 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 operation budget.
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.
26. Which of the following best describes your interest in capital? *This question is required.

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.