Loan Pre-Application
Please review the form to ensure you have all relevant information to complete the form in a single session.
Language Preference
What is your preferred language (i.e.
English,
Español,
正體中文
(
繁體
) (Traditional Chinese), etc.)?
Owner Contact Information
Business Name
Email
Cell Phone
i.e., (###)###-####
First Name
Last Name
Percentage of business ownership or equity in the business.
What can we help you with? Check all that apply
.
Small Business Financing
Commercial Real Estate Financing
Green Lending
Business Coaching
In what area do you need coaching ?
Explain in detail the type of help you need.
Business Information
Primary Business Industry (NAICS Code)
Please select...
Accounting 54 Professional, Scientific, and Technical Services
Apparel/Fashion 44-45 Retail Trade
Automotive 81 Other Services (except Public Administration)
Beauty Supplies 44-45 Retail Trade
Childcare/Education 61 Education Services
Computer/IT 54 Professional, Scientific, and Technical Services
Construction 23 Construction
Food/Beverage 72 Accommodation and Food Services
Hair Salon/Barbershop 81 Other Services (except Public Administration)
Healthcare 62 Health Care and Social Assistance
Janitorial 56 Administrative and Support and Waste Management and Remediation Services
Landscaping 56 Administrative and Support and Waste Management and Remediation Services
Legal Services 54 Professional, Scientific, and Technical Services
Management Consulting 54 Professional, Scientific, and Technical Services
Other 81 Other Services (except Public Administration)
Professional Services 54 Professional, Scientific, and Technical Services
Real Estate Sales/Development 53 Real Estate Rental and Leasing
Restaurant/Café/Catering 72 Accommodation and Food Services
Senior Care 62 Health Care and Social Assistance
Transportation 48-49 Transportation and Warehousing
Legal Structure
Sole Proprietorship
Partnership
LLC
Corporation
Non-Profit
Business Street Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
Years in Operation
Previous Year Annual Revenue
$
Loan Amount Requested
$
Purpose of Funding
Working Capital
Equipment Purchase
Construction
Real Estate Purchase
Other
Please provide a brief description of how you will use the loan funds
Commercial Real Estate Project Address (if different from Business Address)
Street Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
Referral Source
How did you hear about us?
Referred by Local Government Agency
Referred by Another Nonprofit Lender
Referred by City First Broadway
Web Search
Workshop/Webinar
Other:
Explain other referral source