Microenterprise Launch and Grow Program
This program, funded through Community Development Block Grants (CDBG), is designed to support solopreneurs and business owners whose household income is at 80% or below the median in the City of Tacoma.
Your Business Information
Applicant Name
*
First Name
Last Name
Title
*
Email
*
example@example.com
Business Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the legal structure of your business?
*
Sole Proprietorship
Limited Liability Corporation (LLC)
S Corporation
Partnership
What industry does your business operate in?
*
Please Select
Accommodation and Hospitality
Construction and Home Services
Creative Industries
Education
Financial Services
Food Services and Restaurants
Healthcare
Non-Profit
Personal Services (e.g., hair salons, fitness, etc.)
Professional Services
Retail and e-Commerce
Other
How many employees do you have right now (including yourself)?
*
What year was your business established?
*
What is your SAM Unique Entity ID? (If you don't know this or need assistance with obtaining this, please write here "I need support")
What is your City of Tacoma Business license number?
Equity and Inclusion Information
Race/Ethnicity of primary business owner with majority (more than 50%) ownership
*
White
Black/African American
Asian
American Indian/Alaska Native
Native Hawaiin/Other Pacific Islander
Other/Multi Racial
Hispanic Latino
Gender
of primary business owner/applicant with majority (more than 50%) ownership
*
Female
Male
Non-binary
Rather Not Say
Prefer to self-describe:
Primary language spoken
CDBG INCOME INFORMATION
Revby LLC Receives federal Community Development Block Grant (CDBG) pass-through funding from the City of Tacoma. CDBG regulations mandate that funds benefit low-and moderate-income persons. For these reasons, we ask that you complete this Self-Certification of Gross Annual Household Income.
For each household member, enter their projected 12 month gross income (before taxes). Include only W-2 wages and/or business income. If a person has no income, enter “Zero”.
*
Rows
Household Member Name
Enter annual gross income (enter
"Zero"
if none)
Head
1
2
3
4
5
Total Household Income
Do you receive income from assets (such as rental income or investment interest/dividends)?
*
Yes
No
If Yes: For each household member, enter the gross income from assets for the past 12 months (before taxes).
Rows
Household Member Name
Total Annual Income from Assets
Head
1
2
3
4
5
Total Household Income
As this is a federally funded program, documentation to show proof of household income eligibility will be needed. You may upload documentation (i.e., recent tax return) now or skip this section to provide documentation after pre-approval based on the numbers you shared above.
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Business Operation Details
What was your business's annual revenue for the most recent fiscal year?
Less than $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
More than $500,000
How would you rate your current use of technology in your business operations?
Very Low
Moderate
High
Business Challenges and Needs
What are the top three financial challenges your business is currently facing?
*
Managing cash flow and expenses
Setting up or improving bookkeeping systems
Understanding business financial statements
Accessing funding or small business loans
Budgeting for growth and sustainability
Managing taxes and financial compliance
Pricing products or services effectively
Reducing business costs and increasing profitability
Which financial area would you like to focus on?
*
Cash flow management and forecasting
Bookkeeping and accounting best practices
Understanding financial statements and reports
Accessing capital and loan readiness
Budgeting and financial planning for growth
Tax preparation and compliance strategies
Cost-cutting and profitability improvement
What are your business growth plans for the next 12-24 months?
*
Expanding Products/Services
Entering New Markets
Hiring More Staff
Investing in Technology
Other
Your Participation Readiness
Have you previously participated in any other technical assistance or business development programs?
*
Yes
No
Acknowledgement
I certify under penalties of perjury that the above information is true and complete to the best of my knowledge and belief. I agree to furnish any additional income or other documentation as requested and required by the Service Provider to determine their compliance with federal requirements resulting from the use of federal funds in this project.
Business Owner Signature:
*
Submit
Should be Empty: