Business Funding Pre-Qualification

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Enter Staff Email

Email *

Record my email address with my response

Hey Founder :) !

Let's gather some information needed to get you pre-qualified for some business capital, please allow 5-10 minutes to complete this form.

Business Name *

Business Website (write N/A if no website) *

Business Address *

Zipcode

Business Start Date

YYYY

Does your business support any of the following social, humanitarian, or environmental causes?

Poverty Alleviation

Education Equality

Racial Equality and Anti-Discrimination

Gender Equality and Women’s Rights

LGBTQ+ Rights

Mental Health Awareness

Refugee and Migrant Rights

Food Security and Hunger

Access to Clean Water and Sanitation

Healthcare Access and Equity

Climate Change Mitigation and Adaptation

Conservation and Biodiversity

Sustainable Development

Pollution and Waste Management

Job Creation

Other

Required

What is the mission of your business?

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