Loan Readiness Program for Black Entrepreneurs

Admissions Application

NAME

PHONE NUMBER

ADDRESS

CITY

STATE

ZIP

BUSINESS NAME

WEBSITE

BUSINESS DESCRIPTION

Describe the products and/or services that you sell.

WHICH PROGRAM ARE YOU APPLYING FOR?

WHAT WERE YOUR 2018 ANNUAL REVENUES?

HOW MANY YEARS HAS YOUR BUSINESS BEEN A LEGAL, REGISTERED ENTITY?

HOW MANY EMPLOYEES DO YOU HAVE?

HOW ARE YOU CURRENTLY FUNDING YOUR BUSINESS?

HOW MUCH BUSINESS CAPITAL HAVE YOU SECURED TO SCALE YOUR BUSINESS?

How much do you have in loans, cash flow or grants.

PLEASE SHARE YOUR SHORT TERM BUSINESS AND FINANCIAL GOALS

This program is reserved for women who are looking to expand their business. Please describe how you intend to increase staff, revenues, clientele or physical space.

WHY ARE YOU INTERESTED IN PARTICIPATING IN THIS PROGRAM?

ARE YOU WILLING TO APPLY FOR A LOAN?

We provide credit repair, accounting services and other loan readiness support.

PLEASE LIST ALL GOVERNMENT CERTIFICATIONS SECURED?

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