Growth Acceleration Service Application

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    Is your business at least three years old? YesNo
    Do you have at least five full-time employees or full-time equivalents? YesNo
    Did your business generate at least $500,000 in sales last year? YesNo
    Do you have the last three years’ financial reports readily available for review and analysis? YesNo
    Do you want to grow your business? YesNo

    Based on your answers, your business does not qualify for Growth Acceleration Services at this time. Please visit the Consulting page to learn how we can help your business.
    Full Name:
    Title:
    Company Name:

    Mailing Address

    Street
    Suite/Apt.
    City
    State
    Zip
    County

    Business Information

    Street
    Suite/Apt.
    City
    State
    Zip
    County

    Email Address:
    Daytime Phone:
    Website Address:
    Business Start Date (mm/dd/yy):

    Currently In Business: YesNo

    Home-Based: YesNo

    Business Type: RetailConstructionServiceManufacturingWholesaleOther

    Business Description:

    Business NAICS Codes (provide all that apply):

    Gender: MaleFemale

    Race: WhiteBlackHawaiian or Pacific IslanderAsianNative AmericanOther

    Legal Structure: Sole ProprietorS-CorpPartnershipLLCCorporationUndecided

    Hispanic: YesNo

    Current # Employees:
    Full
    Part
    1099

    Veteran Status: Non-VeteranGulf War VeteranVeteranVietnam Era VeteranDisabled VeteranService-Connected Disability

    Business Owner: Disabled or Handicapped? YesNo

    Are you any of the following (Check all that apply)?
    SBA BorrowerSBA ApplicantMBE Certified8(a) CertifiedSurety BondedImport/ExportHubZoneCOC

    Financial Information

    Total Revenues/Sales:
    2017: $
    2018: $
    2019: $

    2020 Projection: $

    2019 Total Assets: $
    2019 Total Net Worth: $

    Annual Profit (Loss): $ ProfitLoss

    Do you currently have a positive cash flow? YesNo

    How often do you receive financial reports (Income Statement & Balance Sheet)?

    Is your accounting set-up on Accrual or Cash basis? AccrualCash

    Total # EOY Employees:
    2017:
    2018:
    2019:

    Additional Comments:

    Business Details

    What are your main products and services?

    Who are your largest customers?

    Who are your major competitors?

    How do you currently market your products/services?

    What is your greatest challenge?

    How do you hope to benefit from this service?

    Do you have a business plan? YesNo
    If yes what Date? (mm/dd/yy):

    Do you have a strategic plan? YesNo
    If yes what Date? (mm/dd/yy):

    Do you have a budget? YesNo
    If you have a budget, how often are variance reports reviewed?:

    How did you learn about the service?