Advanced Technology Center :: Ronald E. Whitehead

Business Incubator

Application Procedures

Complete the following application and arrange an appointment with the Director of the Advanced Technology Center at (601) 477-4113.

Business Name:
A value is required.

Contact Person:
A value is required.

Current Mailing Address:
A value is required.

City:
A value is required.

State:
Please select an item.

Zip Code:
A value is required.Invalid format.

Business Phone:
Invalid format.

Other Phone:
A value is required.Invalid format.

Business Start Or New Ownership Date:

Federal Employer Tax ID #:
Invalid format.

Mississippi Employer Tax ID #:
Invalid format.

Brief Description Of Products Or Services:
A value is required.

Legal Organization Of Company:

Do you have a Business Plan:
Please select an item.

If you have completed a Business Plan,
email it in a Microsoft Word Document to greg.butler@jcjc.edu