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Avanzar 2021 Application
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Email
*
Your email
Name
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Your answer
Phone
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Your answer
Company name
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Your answer
Company Address
Your answer
What is your product or service?
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Your answer
How long have you been in business?
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Your answer
What is your company's revenue? (select one)
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0 - 100k
100k- 250k
250k- 500k
500k - 1m
Over 1m
How many employees do you have?
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Your answer
List any certifications you have:
Your answer
Does your company have Mission and Vision Statements? If so, please state either or both:
Your answer
Do you have a business plan?
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Your answer
What are three (3) specific goals that you are trying to accomplish this year? List in order of priority:
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Your answer
Any specific challenges you currently face?
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Your answer
Have you ever requested a business loan?
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Your answer
If you have requested a business loan, what was the amount?
Your answer
If yes, was the loan approved?
Your answer
What are your anticipated capital financing needs within the next 24 months (briefly describe)?
Your answer
Are you a member of any business organizations? Please list:
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How did you hear about this program?
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Do you have any additional information you would like to share?
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A copy of your responses will be emailed to the address you provided.
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