Loan Prequalification

Street Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Website Address

Does your startup already have a website?

Share your business pitch in 200 words or less. (Required)

What are your current annual revenues? (Required)

Does your company provide a product or a service?

Check all that apply.

Number of people on your team, including yourself. (Required)

What does your company need the most help with in order to grow? (Required)

How did you hear about this program?

Please let us know the person who told you about us, or how you found us on your own.

Tell us more about your Business

These questions will go into more depth to help us understand how we can best help

Who are you selling to and what is the market opportunity? (Required)

Please provide a short description of your target market, estimate of potential market size, and market growth rate

What problem are you solving for your customer? (Required)

Describe your solution (Required)

What is your revenue model? (i.e. subscriptions, services, one-time, usage based, etc..) (Required)

Help us understand how you make money, your revenue stream(s), price points, etc...

What is your competitive environment? (Required)

Why would someone pick you over your competition? (Required)

Tell us about you

Why did you start this company? (Required)

Help us understand your background and what led you to this.

What is your experience in starting, running, or selling a business? (Required)

Veteran Status

What gender do you identify as?

What is your age?

Please specify your ethnicity

Check all that apply.

What is the highest degree or level of education you have completed?

What is the zip code at your primary place of residence?

What is your annual household income?

Where were you born?

Would you describe yourself as disabled?