Apply Now - Build for Success - Neighborhood Progress Fund

Name(Required)

First Middle Last

What is/will be your role in this business?(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Mobile Phone(Required)

Email(Required)

What type of email address is this(Required)

Date of Birth(Required)

Race/Ethnicity(Required)

For more than one race/ethnicity, select "Other"

Gender(Required)

Are you an immigrant to the U.S.?

Are you a veteran?(Required)

Highest level of education(Required)

Household Size(Required)

Household Income(Required)

This is the combine total amount of what each family member makes for the entire year.

Source of Income

What do you rely on as your primary source of household income?

What's your credit score?(Required)

Use your best guess

Are you re-entering the community from a criminal offense?

This question is optional. Refusing to answer this question will not affect your application.

My computer knowledge is:(Required)

Have you ever received business training?(Required)

What is the name of the Organization?

What year did you receive training?

Use your best guess of when you attended

My Business

What stage is your business in?(Required)

Where is your business currently located? If you do not currently have a business location, where do you "plan" to have your business located?(Required)

Street Address Address Line 2 City State ZIP Code

Will your business be your primary or supplemental income?(Required)

What is the name of your business?(Required)

What is the DBA (doing business as) name if applicable?

Date business was registered with PA Secretary of State.(Required)

If you don't know the date, copy and paste this link: https://mblsportal.sos.state.mn.us/Business/Search into a tab to look up the date you registered.

Where is your business located?(Required)

Business Website

Is your business operating full or part-time?(Required)

What type of business do you operate/plan to operate?(Required)

What were your gross sales last year?(Required)

How many full-time employees does your business have?(Required)

How many part-time employees does your business have?(Required)

How many of these employees are family members?(Required)

Describe your business or business idea.(Required)

Why do you want to start your own business?(Required)

Why are you interested in taking this class?(Required)

Do you have a written business plan?(Required)

How did you find out about this program?(Required)

Would you like to be considered for a scholarship?(Required)

Income Verification (for Scholarship): Scholarships are based on a sliding scale according to last year’s household adjusted grossed income. The regular fee for the class is $650. The largest scholarship can lower the fee to $150.

Are you interested in receiving free credit coaching to better understand your financial health (credit and credit score)?(Required)

Phone

This field is for validation purposes and should be left unchanged.

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My Business

I would like to apply for a: