City of La Crosse 2026

Launch & Grow: Finance + Digital Skills for Microenterprise Business Owners
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 La Crosse.
Your Business Information
Applicant Name*

First NameLast 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

CityState / Province

Postal / Zip Code
Sole ProprietorshipLimited Liability Corporation (LLC)S CorporationPartnership
What industry does your business operate in?*
How many employees do you have right now (including yourself)?*
What year was your business established?*
What is your Business license number?
Equity and Inclusion Information
WhiteBlack/African AmericanAsianAmerican Indian/Alaska NativeNative Hawaiin/Other Pacific IslanderOther/Multi RacialHispanic Latino
FemaleMaleNon-binaryRather Not SayPrefer 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 La Crosse. 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

YesNo

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.

Your information will be kept secure and will not be shared.
Cancelof
Business Operation Details
Less than $50,000$50,000 - $100,000$100,000 - $250,000$250,000 - $500,000More than $500,000
Very LowModerateHigh
Business Challenges and Needs
Not enough consistent customers/salesMy finances feel disorganized / I’m behindI don’t know my numbers (profit, expenses, cash flow)I’m not sure I’m charging the right priceMy online presence, I need to improve itTime management / doing everything myselfOther
I track nothing right now (or it’s very inconsistent)I track in a notebook / receipts / notesI use a spreadsheetI use an accounting tool (QuickBooks, Wave, Xero, etc.)Someone else does it for me (bookkeeper/accountant/family)Not sure
My bookkeeping is organized and up to dateI understand my cash flow and have a simple cash flow planI have basic financial statements I can use (P&L, etc.)I have a better website or online presenceI’m ready to apply for a loan/grant (or meet with a lender/CDFI)I feel more confident running my business
Your Participation Readiness
YesNo
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:*

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

Your Business Information

Equity and Inclusion Information

CDBG INCOME INFORMATION

Business Operation Details

Business Challenges and Needs

Your Participation Readiness

Acknowledgement