Back to Business (B2B)

Back To Business Form

Than you for applying for our services and sharing relevant information about your business. Our work is to help small businesses reach their goals. Your information gives us the data to assess your business needs and support your progress.
Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Language Preferred
Gender*

FemaleMaleNon-binaryTransgenderOther
Are you a Veteran?*

YesNo
Which race or ethnicity best describes you?*

American Indian or Alaskan NativeAsian/Pacific IslanderBlack or African AmericanHispanic/LatinoWhite/CaucasianMultiple Ethnicity/Other
Employment Status:*

Full-TimePart-TimeFreelance/ ContractorSelf-EmployedUnemployedDisabledRetired
How Would you rate your proficiency in technology*

ExcellentAveragePoorI prefer not to use technology
Do you already have a stablished business?*

YesNo
Business Structure:*

Not Yet EstablishedSole ProprietorshipCorporationLimited Liability CompanyLimited PartnershipGeneral PartnershipNon-ProfitOther
Business Name:*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Approximate Annual Revenue:*
Do you own or lease the location?*

OwnLease
Location Type:*

HomeStorefrontOfficeIndustrialOther
Business Phone*
Please enter a valid phone number.
Business Email*
example@example.com
Business Type:*
Industry:*
Business License:*
Established Date*

MonthDayYear
Date
Website
Do you have a business plan?*

YesNo
Do you have a business bank account?*

YesNo
Do you you have a business credit card?*

YesNo
Number of Full-Time Employees
Number of Part-Time Employees
Which category best describes your business ownership?

People of Color/Minority-ownedVeteran-ownedWomen-ownedLGBTAIA+owned
List social media handles
Facebook:
Instagram:
Twitter:
Other:
San Pablo EDC can connect you to the following business services. Please select the services you need to start or strengthen your business.
Services Needed

Access to CapitalHiring Fair ParticipationAccounting ServicesInsuranceADA ComplianceLeasingBranding/ LogoMerchant ServicesBusiness BankingMarketingBusiness CreditOnline Presence/Social MediaBusiness PlanOnline StoreBusiness StructureOn-the-Job TrainingConsulting/1:1 AdvisingPermits & LicensingDUNS NumberPurchase of EquipmentEmployer Identification Number(EIN)Tax ServicesEmployee TrainingWebsiteFinancialsOther
APPLICANT SCREENING QUESTIONS

See Guidelines
Have you filed for bankruptcy in the last 3 years?*

YesNo
Is your business a charity or non-profit organization?*

YesNo
Is the business income your primary source of income?*

YesNo
Have you filed business income taxes for the last 2 years?*

YesNo
Do you have a current business license in the City of San Pablo?*

YesNo
Is your storefront in the jurisdictional boundaries of the City of San Pablo?*

YesNo
Does the business have unpaid local, state, or federal tax liens or judgments?*

YesNo
Does your business promote or offer any of the following *

YesNo
Select the Promotion or Offer*
List of services:

Illegal activities, recreational drugs, unsafe supplements, multilevel marketing, third-party infringement, social issues, elections or politics, cosmetic procedures, weight loss, cash for gold, gambling, weapons, ammunition, firearms or explosives, adult products or services, penny auctions, payday loans, paycheck advances, bail bonds, discriminatory advertising, state lotteries, tobacco, and related products
What is your business's gross revenue?*

Gross revenues < $100,000Gross Revenues < $250,000Gross Revenues < $500,000Gross Revenues > $750,000
Before COVID-19, My business was...*

Fast growing with potentialStable with predictable growthNeither growing nor decliningDeclining
How do you plan to utilize the grant?*

Lease PaymentsEquipmentUpgrades or ExpansionPayrollBusiness SuppliesSoftware or TechnologyUtilitiesPay off debtOther
Please describe your business's most significant challenges(s) and pandemic impacts*
Process Expectations

I understand that false or misleading information in my application may render this application void and will be cause for termination, whenever discovered. San Pablo EDC will email the applicant within 15 business days from the application deadline to provide application status. Qualified candidates will be asked to submit additional documentation within two (2) business days to move to the second stage of the grant process. See grant guidelines for list of documents required. This B2B expansion represents grant funding and will not need to be repaid. However, all taxes associated with the acceptance and/or uses of cash awarded are the sole responsibility of the individual grantee. Eachgrantee will receive a Form 1099 from San Pablo EDC.
San Pablo EDC Rules of Conduct

These Rules of Conduct (Rules) apply to all persons seeking to receive information and/or services and participate in any San Pablo EDC and EDC-affiliated programs. These Rules apply to interactions with San Pablo EDC staff whether in person, via phone, written communication (hardcopy or electronic) or any form of online social media. The San Pablo EDC seeks to ensure all staff and clients are treated with respect and meet the same standards of conduct. The San Pablo EDC does not discriminate nor does it tolerate any discriminatory or harassing behavior in which its clients may engage. The San Pablo EDC reserves the right to terminate service with a client based on the client’s unwelcome behavior, which will be captured according to the Protocol which follows this section
I am 18 years of age or older.
I will not disrespect EDC staff members or anyone present (i.e., no derogatory
comments raising voice, swearing, threatening comments or gestures, actual physical
harm, uninvited physical contact, sexual or flirtatious advances, among others).
I will not say any negative comments nor make discriminatory remarks about any class, type or group of people (i.e., no derogatory language; no comments related to a person's gender, sexual identity, age, race, ethnicity, religion, etc.).
I will not engage in any discriminatory line of questioning with staff nor refuse service from a staff member based on prejudice regarding race, ethnicity, language, sexual identity, age, disability or any other discriminatory bias.
I understand that if I am under the influence (drugs or alcohol) and unable to comply with staff requests or communicate safely, refuse to follow staff requests, threaten violence, or am belligerent in my conduct, I will be asked to leave the premises immediately.
I will follow staff requests regarding my conduct.
I understand there is a zero tolerance policy for Rules violation.
I understand that failure to follow the Rules of Conduct will be grounds for immediate
action according to Protocol.

Your Initial*.
By signing below, you confirm that you have read, understood, and agree to follow San Pablo EDC staff guidance and direction within two (2) business days. You certify that the information you have provided in this application is true and accurate and that you have the authority to consent to the terms and submit this application for the applicant’s business. You also acknowledge that you understand and consent to share the documents required to complete the application with San Pablo EDC.
By signing below, I am indicating I have read, understand and agree to abide by the San PabloEDC Rules of Conduct
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Illegal activities
recreational drugs
unsafe supplements
multilevel marketing
third-party infringement
social issues
elections or politics
cosmetic procedures
weight loss
cash for gold
gambling
weapons
ammunition
firearms or explosives
adult products or services
penny auctions
payday loans
paycheck
advances
bail bonds
discriminatory advertising
state lotteries
tobacco and related products

Back To Business Form

List social media handles

San Pablo EDC can connect you to the following business services. Please select the services you need to start or strengthen your business.

APPLICANT SCREENING QUESTIONS

See Guidelines

List of services:

Process Expectations

San Pablo EDC Rules of Conduct

By signing below, I am indicating I have read, understand and agree to abide by the San PabloEDC Rules of Conduct