Loan Application Form | Community Futures Central Island

First Name*

Last Name*

Phone number*

Email address*

Address*

Have you approached a bank/credit union for financing?*

Yes

No

What was the financing request outcome?*

Is this business a new start-up?*

Yes

No

What is the legal name and operating name of the business?*

How many years has the business been in operation?*

What is the business website URL?

What is the business social media URL?

What type of ownership?*

Sole Proprietor

Limited Company

Partnership

Other (including non-profit or society)

Tell us about your business idea?*

Who is your target market/customer?*

Enter the dollar amount of the loan request*

How will you use the money?*

Purchase Equipment

Leasehold Improvements

Working Capital

Other

Other*

Please explain

Are you human?*

This field should be left blank