	South Queens Capital Access Loans up to $300,000 for growing Southeast Queens businesses. Complete and submit this pre-application to start the loan process.
Associated Programs

Business Name

Owner Contact Information

First Name

Last Name

Home Address

Home City

Home State

Home ZIP

Home Phone

Cell Phone

Country of Origin

Business Contact Information

Business Address

City

State

ZIP

Business Phone

Website

Business Information

Primary Business Activity

Business Open Year

Number of Employees

EIN

Women Owned?

Veteran Owned?

Minority Owned?

Demographics

Is this a start-up?

Queens Chamber of Commerce Member?

Contract Experience

Prior government contract experience?

Working on government contract now?

Bidding on government contracts?

Please detail your experience working and bidding on government contracts:

Loan Information

Loan Amount Requested

Denied by Traditional Bank?

How did you hear about us?

Please provide a brief description of the business and how the funds will be used:

Who referred you to us?

Please specify

Business Uses of Loan

Use of funds

Amount

Business Uses of Loan Total Amount

Click the SUBMIT button to submit this form.