Eastern WA State InnovateHER Application Eastern Washington State Application for SBA InnovateHER competition Company Name*Company County*The county of the entity's primary location or the contestant's residence if primary entity is not established.Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Phone*Company Owner/s*List all persons owning 20% or more of the businessBusiness Description*Describe your business and the product or service your business provides.Your Product/Service Impact on women and families*Describe how your product or service has a measurable impact on the lives of women and families. Potential for commercialization*Describe how your product or service has the potential for commercializationMarketplace Need*Describe how your product or service fills a need in the marketplaceEligibility Qualification*I satisfy the eligibility requirements as listed in the SBA InnovateHER 2016 Challenge Rules https://www.sba.gov/sites/default/files/resources_articles/3._Competition_Rules_1.pdfYesNoCompetition Criteria Qualification*I have read the challenge criteria and satisfy all requirementsYesNoCost*I understand I am responsible for covering my own travel costs to Washington, D.C. for the national competition if I am a national finalist.YesNoBusiness Plan Attached in PDF form*A PDF of my Business Plan is attachedYesNoUpload PDF FileUpload PDF only. If necessary, Business Plans can be mailed to: WSBDC, PO Box 1495, Spokane, WA 99210. Please include a printout of this form! Accepted file types: pdf.CommentsThis field is for validation purposes and should be left unchanged.