Skip to main content

We are currently processing your application.
Please keep this tab open until you see the green "Thank you for your submission" banner at the top of the page.

0% complete

Advisee Intake Form

Community Logo Customize

Energize Colorado is a nonprofit powered by passionate volunteers from the private and public sector along with universities from across the state. Working together, we’ll share knowledge, pair small businesses with business advisors, and create new solutions where they’re needed. 

If you are requesting to be connected to a business advisor, please use this form. We’ll be in touch with details as soon as possible. This form should take roughly 5 minutes or less to complete. Thank you! 

For general Gap Fund Assistance, including accessing your application in FLUXX, please call us at 1- 800-471-0628 or send an email to gapfundsupport@energizecolorado.com.  

For assistance with the Energize Community Program, fill out this form or send an email to ecp@energizecolorado.com.

Please review our Energize Colorado Code of Conduct. You will be asked below to confirm you have reviewed. 


I'm interested in:*
My questions/needs relate to:*(Select up to three)
How did you hear about this opportunity to request help?*
Permission to contact you by email (and by phone, if you entered your number) about requesting assistance: By submitting your response, you agree to the following (permission to store and use personal information and data and acceptance of privacy policy and terms of use):*
I understand and agree that the personal information and data that I am providing above will be used by Energize Colorado to contact me by email individually to connect me with resources and individuals relevant to any purpose for which I have indicated my desire to contribute to or to be assisted by Energize Colorado. If I have provided my telephone number, I also understand and agree that I may be contacted by text message or phone call to connect me with resources and individuals relevant to any purpose for which I have indicated my desire to contribute to or to be assisted by Energize Colorado. I understand that you will be retaining the above personal information and data unless and until I contact you at privacy@energizecolorado.com requesting the removal of my data.*
I confirm that I have read the privacy policy and the Terms of Use at https://www.energizecolorado.com/privacy-policy/ and understand and agree to both.*
I confirm I have reviewed the Energize Colorado Code of Conduct included in the description above.*

Please complete all required fields before submitting the survey.

By clicking submit, you are agreeing to Startup Space's Terms and Conditions and Privacy Policy