Penn-CCP Entrepreneurship Academy

Prior to starting this application, you should prepare the following items, so you can complete the application in one sitting.

250-word maximum "business description" statement. Briefly describe your business, including the products or services you provide, the problems you solve, and the customers you serve.
250-word maximum "why this program" statement. Briefly describe why are you interested in the Penn–CCP Entrepreneurship Academy, and what business challenge or growth opportunity you hope to address.

If you have any questions about the Penn-CCP Entrepreneurship Academy, contact the Executive Director, Franne McNeal, at fmcneal@ccp.edu.

Applicant and Business Contact Information

Applicant First Name*

Applicant Last Name*

For identity purposes, the date of birth is required. Please be assured that we will have fair and equal consideration of all applicants, regardless of age.

Date of Birth*

Your Title or Role in the Business*

Business Name*

Business Website

Business Social Media

Business Email*

Business Phone*

Business Address*

Country

Street

City

Region

Postal Code

Business Information

Business Description: Briefly describe your business, including the products or services you provide, the problems you solve, and the customers you serve. (250 words maximum)*

Or, type or copy-and-paste your document here:

Which industry best describes your business?*

I am applying to this program as a:*

Year the Business Was Established (yyyy)*

Number of FT Employees (including you)*

Number of PT Employees*

Number of Independent Contractors*

2025 Annual Revenue*

Please select your specific annual revenue range*

Legal Structure*

My personal 2025 taxes were filed.*

My business 2025 taxes were filed.*

My non-profit 2025 taxes were filed.*

I'm working toward an annual revenue of $.... in the next 3 years.*

Applicants who advance in the review process may be asked to provide additional business and financial information.

Are you a Power Up Your Business alumni?*

Yes

Are you a Goldman Sachs 10,000 Small Businesses alumni?*

Yes

Your Interest: Why are you interested in the Penn–CCP Entrepreneurship Academy, and what business challenge or growth opportunity do you hope the program will help you address?(250 words maximum)*

Or, type or copy-and-paste your document here:

Connection to West and/or Southwest Philadelphia*

My business operates in West and/or Southwest Philadelphia

My business is registered in West and/or Southwest Philadelphia

I live in West and/or Southwest Philadelphia

Other: Please describe your connection.

West and Southwest Philadelphia ZIP Codes

Any Philadelphia resident or business can apply. We are especially interested in applicants whose primary business or residential address falls within one of the ZIP codes below:

ZIP CODE	REPRESENTATIVE NEIGHBORHOODS
19104	University City / Mantua / Powelton Village
19131	Wynnefield / Overbrook / Wynnefield Heights
19139	Cobbs Creek / Walnut Hill / Garden Court
19142	Elmwood Park and Paschall
19143	Cedar Park / Kingsessing / Squirrel Hill
19151	Overbrook / Overbrook Park / Morris Park
19153	Eastwick, Penrose, and Philadelphia International Airport

How Did You Hear About Us?

Application Certification

I certify, under penalty of perjury under the laws of the Commonwealth of Pennsylvania, that I have provided truthful and accurate information. I agree to provide supporting documentation upon request.

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