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UH PTAC Application for Services

IMPORTANT NOTICE

Please make sure that you meet the eligibility criteria listed on our web site before you apply. This application should be completed by the majority owner of the company. Once you have submitted the application, visit the Events Calendar on the PTAC web site and sign up for our New Client Initial Meeting (http://www.uhptac.sbdcnetwork.net/ptac/CalMonth.asp?CID=23). The title of the meeting is "PTAC New Client Initial Meeting". All new applicants are  required  to attend the meeting as the first step after you submit the online application. If you have any questions or concerns about registering for the NCIM, please contact Gina Mattei at gmattei@uh.edu or by phone at 713-752-8485.


Required field *
Numbers only - no spaces, dashes or special characters.
Numbers only - no spaces, dashes or special characters.
Please provide data on the majority owner.
Please provide data on the majority owner.
Please provide data on the majority owner.
Please provide data on the majority owner.
Please provide data on the majority owner.
Please provide data on the majority owner.
Designated Representative must be a W-2 Employee - No 1099 Contractors
Numbers only - no spaces, dashes or special characters.
Numbers only - no spaces, dashes or special characters.
Provide the DBA Name if used
Numbers only - no spaces, dashes or special characters.
* Date Business Started / / (MM/DD/YYYY) Must be in business at least one year to qualify for the PTAC Program.
If you have a Dun and Bradstreet (DUNS) number please enter it here.
If you have a CAGE code, please enter it here.
Must be over $25,000 to qualify for the PTAC Program
*