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Loan Inquiry Form

Take the first step in applying for a Working Solutions loan!
Fill out the form below, and we will be in touch soon.

To review our loan terms and eligibility requirements, click here.

If you have questions about this form, email info@workingsolutions.org.

Pre-Application

First Name

Last Name

Phone Number

Email Address

What is the best way to reach you?

CallEmailText

How did you hear about us?

Please share the name of the organization and/or person who referred you. If unknown or not applicable, type N/A.

What amount are you seeking to borrow?

Please enter numbers only (no symbols). Minimum Amount: $5,000, Maximum Amount: $100,000.

How do you plan to use the loan?

Business County

Please select the county where your business currently operates or will operate.

Business City

Please enter the city where your business currently operates or will operate.

Business Zip Code

Please enter the zip code where your business currently operates or will operate.

Business Name

Business Description

Approximate Business Start Date

If the exact date is not known, please provide an estimate.

How long have you been in business?

Have you researched the licenses or certifications you will need to operate your business?

YesNo

Have you ever received a Working Solutions loan?

YesNo

Have you ever applied for a Working Solutions loan?

YesNo

Have you ever completed this Working Solutions
Loan Inquiry Form in the past?

YesNo

Have you ever applied for a Working Solutions grant?

YesNo

More About You

Have you ever applied for any type of loan?

YesNo

If yes, what type of loan(s) have you applied for? (select all that apply; on a computer, hold command / ctrl key to select multiple)

Other (please describe)

Do you have a network to help you with business management, marketing, financial questions and/or operations?

YesNo

If yes, please share more about who comprises your support network (select all that apply; on a computer, hold command / ctrl key to select multiple)

Other (please describe)

If not, are you interested in connecting with partners in our business support network?

YesNo

Eligibility

Are you 18 years of age or older?

YesNo

Is your organization a 501(c)(3) nonprofit?

YesNo

Is your business involved in one of the following industries: Adult Entertainment, Cannabis, Real Estate & Stock Investment Firms, Multi-level Marketing, or Lending?

YesNo

Does your business sell tobacco or liquor?

YesNo

If yes, what percentage of your revenue comes from tobacco or liquor sales?

Please enter numbers only (no symbols).

If your business is a start-up, do you have at least one year of demonstrated same-industry experience?

YesNo

If your business is a start-up, do you have another source of income?

YesNoExamples of Other Income: Alimony, Paystub, Annuity Income, Disability Income

To the best of your knowledge, will any of the items below be in your credit report?

Bankruptcy (either active or discharged less than 12 months ago)
Unpaid public records (tax liens or civil judgments)
Any credit accounts past due

YesNo

Optional Additional Information

Is there anything else you would like to share with us at this time?

Contact Information