Empower by Go Daddy October 2022 Cohort

  • Program Application

  • Fall 2022 Programs


     

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    Please note this is not a loan application.

    Please press next to continue with the Program Application

  • Location:

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    Southeast Region Mailing List

     

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  • Personal Information

  • We are accepting applications from the following locations:

  • Location*

  • Business Questionnaire

  • Which program are you interested in registering for?

  • How was your business negatively impacted by COVID-19? Select all that apply.*
  • How was your business positively impacted by COVID-19? Select all that apply.*
  • Did you receive COVID-19 related financial assistance? Select all that apply.*
  • How did you originally hear about TruFund Financial Services?*
  • How did you hear about this program?*
  • Do you currently or have you ever had a loan with TruFund?*
  • If yes, which type of loan?*
  • Are you seeking business financing?*
  • If yes, how much?*
  • What is your primary need for business financing?*

  • General Information

  • We are a 501(c)3 nonprofit – having information about who we serve supports our ability to demonstrate our impact and raise funding. Information that identifies you as an individual is secure and will never be shared with third parties without your consent.

  • Gender you identify as?*

  • Race you identify as?*
  • Ethnicity you identify as?*
  • Is the head of your household?*

  • Household Income Range
  • 1-Household Income Range
  • 2-Household Income Range
  • 3-Household Income Range
  • 4-Household Income Range
  • 5-Household Income Range
  • 6-Household Income Range
  • 7-Household Income Range
  • 8-Household Income Range
  • 9+-Household Income Range

  • Business Information

  • We are a 501(c)3 nonprofit – having information about who we serve supports our ability to demonstrate our impact and raise funding. Information that identifies you as an individual is secure and will never be shared with third parties without your consent.

  • Do you have a website?*
  • Is your business address the same as your personal address?*
  • Are you currently in business?*
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  • Business Type:*
  • Select your primary industry sector (numbers correspond to NAICS Code Sector):*
  • What is your business model? Select all that apply.*
  • Do the majority of your clients (or anticipated clients) identify as minority, women, or living in low to moderate income communities?*
  • Which statement best describes the location of your business?*

  • Do you have employees (does not include independent contractors/1099s)?*
  • Rows
  • Do the majority of your employees (or anticipated employees) identify as minority, women, or living in low to moderate income communities?*
  • Are you currently employed outside your business?*
  • Do you own, operate, and control at least 51% of the business?*
  • Rows
  • Rows
  • Are you a contractor, vendor or supplier with a government or corporate entity.*
  • If yes, are you surety bonded?*
  • Do you have a DUNS Number?*
  • Are you registered in SAMS.gov?*

  • Business Financials

  • Sign and Submit

  • I hereby attest that all of the above information is complete and accurate to the best of my knowledge. I permit TruFund Financial Services or its agent the use of my name and address for TFS surveys and information mailings regarding TFS products and services. I understand that any information disclosed will be held in strict confidence. (TFS WILL NOT share your personal information to commercial entities.) In consideration of the counselor(s) furnishing management or technical assistance, I waive all claims against TFS personnel, and that of its resource partners and host organizations, arising from this assistance.

  • Should be Empty: