City of La Crosse 2026

Launch & Grow: Finance + Digital Skills for Microenterprise Business Owners

Interest Form
Get practical help with your business finances, systems, and digital tools through a hands-on workshop and personalized support.

This short form helps us learn about your business and see whether this program is a fit.

If additional eligibility information is needed, our team will guide you through it step by step.

This form is the first step. You do not need to have everything ready today. Complete what you can, and our team will follow up if we need anything else.

Because this program is funded through federal grant support, some applicants may need to confirm household income eligibility. We’ll guide you through that in a simple, respectful way.
Your Business Information
Applicant Name

First NameLast Name
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

CityState / Province

Postal / Zip Code
What industry does your business operate in?
Including yourself, how many people work in the business? This program is designed for microenterprises located in La Crosse with 5 or fewer employees, including the owner.
What year was your business established?
CDBG INCOME INFORMATION
Revby LLC Receives federal Community Development Block Grant (CDBG) pass-through funding from the City of La Crosse. Please answer to the best of your ability.
Do you believe your household income is at or below the program’s LMI threshold?

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	Enter annual gross income (enter "Zero" if none)
Household Head
Household Member 2
Household Member 3
Household Member 4
Household Member 5
Household Member 6
Total Household Income

Do you receive income from assets (such as rental income or investment interest/dividends)?

If Yes: For each household member, enter the gross income from assets for the past 12 months (before taxes).

Rows	Total Annual Income from Assets
Household Head
Household Member 2
Household Member 3
Household Member 4
Household Member 5
Household Member 6
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.

Your information will be kept secure and will not be shared.
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Business Operation Details
What was your business's annual revenue for the most recent fiscal year?
How would you rate your current skill at using technology in your business?
Business Challenges and Needs
What are the top 3 challenges your business is currently facing?

Other
Which best describes your current bookkeeping/financial setup? (Choose one)
Demographic Information
Race/Ethnicity of primary business owner with majority (more than 50%) ownership
Gender of primary business owner/applicant with majority (more than 50%) ownership

Prefer to self-describe:
Primary language spoken
Your Participation Readiness
Have you previously participated in any other technical assistance or business development programs?
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:
Should be Empty:

Launch & Grow: Finance + Digital Skills for Microenterprise Business Owners

Your Business Information

CDBG INCOME INFORMATION

Business Operation Details

Business Challenges and Needs

Demographic Information

Your Participation Readiness

Acknowledgement