New Client Intake Form

Please take a few minutes to fill out Lean Rocket Lab's Intake Form. This gives us all of the information we need to serve you well. As an organization our goal is to understand where you are today and help you access the programs, resources, networks, and more that you need to get to the next business stage. We take pride in being able to help founders and owners achieve their goals and grow their businesses. Following the intake form you will be able to schedule a meeting with a member of our team. Please do that through the calendar that displays. If you forget we will follow up via email!

Tell Us About You & Your Business

In a few sentences, describe what your business does, who your customers are, and what you sell.

Tell Us More About Your Business

Not sure? Lookup LARA ID here [LINK]

FTE is based on 40 hour work week
FTE is based on 40 hour work week
Last 12 months

Technology Business

Service Business

Goals & Demographics

If the business is at least 51% owned by the following individuals or, in the case of a publicly owned business, at least 51% of the stock is owned by one or more of the following individuals (i.e., the management and daily operations are controlled by those minority group members):
(a) Asian Pacific - A U.S. citizen whose origins are from the Asian Pacific region. These countries include the following: Cambodia; China; Guam; Japan; Korea; Laos; Malaysia; the Philippines; Samoa; Thailand; Tibet; Taiwan; the U.S. Trust Territories of the Pacific or the Northern Marianas; and, Vietnam.
(b) Hispanic -A U.S. citizen of true-born Hispanic heritage, from any of the Spanish-speaking areas of the following regions: Argentina, Belize, Bolivia, Brazil, Central America, Chile, Colombia, Costa Rica, Cuba, Dominican Republic, Ecuador, Guatemala, Guyana, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, South America, Uruguay, Venezuela.
(c) Asian Indian - A U.S. citizen whose origins are from the Asian Indian region. These countries include Bangladesh; India; Indonesia; Nepal; Pakistan; Sri Lanka.
(d) Black / African - A U.S. citizen having origins in any of the Black racial groups of Sub-Saharan Africa. These countries include Angola; Benin; Botswana; Burkina-Faso; Burundi; Cameroon; Cape Verde; Central African Republic; Chad; Comoros; Democratic Republic of Congo (DRC); Cote d’Ivoire; Djibouti; Equatorial Guinea; Eritrea; Ethiopia; Gabon; Gambia; Ghana; Guinea; Guinea-Bissau; Kenya; Lesotho; Liberia; Madagascar; Malawi; Mali; Mauritania; Mauritius; Mozambique; Namibia; Niger; Nigeria; Rwanda; Sao Tome &Principe; Senegal; Seychelles; Sierra Leone; Somalia; South Africa; Swaziland; Tanzania; Togo; Uganda; Western Sahara; Zambia; and Zimbabwe.
(e) Native American - A person who is an American Indian, Eskimo, Aleut or Native Hawaiian, and regarded as such by the community of which the person claims to be a part.
(f) Middle East / North African - A U.S citizen whose origins are from the Middle East or North Africa such as; Iran, Iraq, Saudi Arabia, Turkey, Algeria, Egypt, Morocco, Libya or Syria.

If the business is at least 51% directly and unconditionally owned by one or more veterans of any military branch of the United States.
If the business is at least 51% directly and unconditionally owned by one or more veterans of any military branch of the United States.
If the business is at least 51% directly and unconditionally owned by one or more persons with a disability.

Information for MSF and MEDC E&I Programs

Michigan Strategic Fund (MSF)/Michigan Economic Development Corporation (MEDC) Entrepreneurship and Innovation funded programs for high tech start-ups are available statewide for all Michigan based entrepreneurs.

Visit this link for MEDC State-Wide resources

Please download the documents in this folder relative to all programs and resources that are available. 

Resource Folder

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[email protected]
+1 (517) 425-0391
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DOWNTOWN

133 W Michigan Ave,

Jackson, MI 49201

TECH INCUBATOR

3517 Scheele Dr.

Jackson, MI 49202

2026 by Lean Rocket Lab