MSB License Application Makerspace Blueprint Licensing Application Question Title * 1. Enter your contact info Your Full Name Makerspace Name State/Province Country Email Address Phone Number Question Title * 2. Describe Your Role: I am the Makerspace Owner I operate / Manage a Makerspace I am an Educator running a makerspace I am an Administrator with oversight of a Makespace Question Title * 3. Describe your Makerspace For-Profit Makerspace Non-Profit Makerspace Community College or University Makerspace Question Title * 4. Number of active members currently paying dues 0 - 29 30 - 50 51 - 100 101 - 250 251 - 500 500 - 1,000+ Question Title * 5. What is your current MONTHLY revenue? 0 to $10,000 $10,000 to $25,000 $25,000 to $50,000 $50,000 to $100,000 $100,000 to $200,000 $200,000 to $300,000 Question Title * 6. What is your TARGET monthly Revenue? $10,000 to $25,000 $25,000 to $50,000 $50,000 to $100,000 $100,000 to $200,000 $200,000 to $300,000 $300,000 to $400,000 Question Title * 7. What do you need the most help with right now? Increase revenue Better systems (operations) Curriculum and Programming Question Title * 8. Are you willing and able to dedicate yourself full time to this program? Yes No Question Title * 9. Were you referred by a friend / individual / or Licensee? If so, please name them below. Done
