Business Funding Prequalification
Prequalify for business funding and grant opportunities with GHS Consulting. Educational and referral services only; no funding or grant outcome is guaranteed.
Applicant & Business Basics
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Preferred Contact Method
*
Phone
Email
Text Message
Either
Business Name
Industry
*
Business Website
Entity Type
*
Please Select
Sole Proprietor
LLC
Corporation
Partnership
Nonprofit
Not Formed Yet
Other
State Formed
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Date Formed
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Has the business obtained an EIN?
Yes
No
Has the business opened a business bank account?
Yes
No
Does the business have required licenses or permits?
Yes
No
In Progress
Time in Business
*
Please Select
Less than 3 months
3–6 months
6–12 months
1–2 years
2–5 years
More than 5 years
Ownership Percentage
Annual Revenue
Average Monthly Revenue
Monthly Deposits
Funding Needs & Qualification
Desired funding amount
*
Minimum useful amount
Intended use of funds
*
How soon do you need funding?
*
Immediately
Within 2 weeks
Within 1 month
1–3 months
3+ months
Not sure
Preferred funding route
*
Please Select
SBA loan
Line of credit
Term loan
Startup capital
MCA
Equipment financing
Invoice financing
Grant opportunities
Alternative lending
Unsure
Collateral available
Real estate
Equipment
Inventory
Accounts receivable
Business vehicle
Personal assets
None
Other
Existing loans and balances
Have you had any prior funding denials?
*
Yes
No
Prefer not to say
If yes, briefly describe the denial(s)
Can you provide bank statements and tax returns if requested?
*
Yes
No
Some of them
Not sure
Anything else we should know about your funding needs or qualification?
Credit & Banking Profile
Personal credit score range
*
Below 500
500-579
580-619
620-659
660-699
700-739
740+
Unsure
Is business credit established?
*
Yes
No
Unsure
Business credit score (if known)
Business credit bureau (if known)
Please Select
Dun & Bradstreet
Experian
Equifax
Other
Approximate tradelines, late payments, or bankruptcy details
Is credit building support needed?
*
Yes
No
Unsure
Startup Details
Planned launch date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Business plan upload
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Financial projections upload
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Estimated startup costs (USD)
*
Owner investment amount (USD)
*
Current revenue status
*
Pre-revenue
Some revenue
Generating revenue
Other
Grant Qualification
Industry
*
Please Select
Agriculture
Arts & Culture
Education
Healthcare
Manufacturing
Retail
Technology
Transportation
Other
Business Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Business Certifications
Woman-owned
Minority-owned
Veteran-owned
Disadvantaged
Nonprofit
Primary Grant Purpose
*
Please Select
Equipment
Hiring
Working Capital
Facility Improvements
Training
Research & Development
Marketing
Other
Grant Application Deadline
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grant Opportunity Details
Grant Acknowledgment
*
I understand that grants are competitive and not guaranteed.
Final Review, Consent & Signature
Top 3 business/funding goals
*
Increase working capital
Buy equipment/inventory
Expand operations
Hire staff
Refinance existing obligations
Launch a new product/service
Open a new location
Other
How did you hear about us?
Please Select
Website
Social media
Referral from a friend/colleague
Bank/financial institution
Broker/consultant
Event/trade show
Email
Other
Additional comments
Acknowledgments
*
I confirm the information provided is accurate to the best of my knowledge
I understand this is a prequalification request and not an approval decision
I authorize review of the information provided for qualification purposes only
I understand a separate consent is required for any hard inquiry on my credit file
Contact consent
*
Phone calls
Text messages
Email updates
Do you consent to be contacted by text message?
*
Yes
No
Typed signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Check My Funding Options
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