BIPOC Loan Fund Application • CIC Tucson

Program Guidelines and Requirements

• Loan amounts: $500 to $10,000 • Term: up to 5 years • Interest Rates: 0% • Loan Fees: $0 • At least 50% of business ownership must identify as BIPOC • Business must be located in SOUTHERN ARIZONA (defined as Casa Grande or south) • Business can be in any stage including startups • Completion of application online via video, audio or text, or paper application submitted. Loan funds must be used for business purposes. Businesses cannot be engaged in any of the following activities: multilevel marketing/direct sales, financial services, illegal activities.

BIPOC Community Managed Loan Fund Application: Step One

This is the first of two steps of the BIPOC Community Managed Loan Fund Application process. Please take time to complete this form at which point you will submit this form and be sent a confirmation email with directions, including a unique link to complete Step Two: Your Business Story via the VideoAsk platform. For Step Two: Your Business Story, you will be welcome to submit your responses in video, audio, or text. All responses can be created in the platform or uploaded/copy and pasted. Please begin Step One below.

Your Full Name:(Required)

Title:(Required)

Email(Required)

Enter Email Confirm Email

Phone:(Required)

Business Name:(Required)

Business Address (physical):

Mailing Address (if different):

What county is your business located in?(Required)

(PLEASE NOTE: Applicants must be located in Southern Arizona, which we define as Casa Grande or south)

Name/s of business owner/s:(Required)

Business phone number:(Required)

Do you have a business email address different from the one listed above?(Required)

Yes

Business email address(Required)

Describe your business in 1-2 sentences.(Required)

(What is it, who does it help, and how?)

Business website and social media handles:(Required)

If you do not have any, enter "N/A"

Employees, Contractors, Volunteers

Number of full-time employees:(Required)

Include any full-time owners here. If none, enter 0.

Number of part-time employees:(Required)

Include any part-time owners here. If none, enter 0.

Number full-time of contractors:(Required)

If none, enter 0.

Number of part-time contractors:(Required)

If none, enter 0.

Number of full-time volunteers:(Required)

If none, enter 0.

Number of part-time volunteers(Required)

If none, enter 0.

Business Entity:(Required)

Sole Proprietorship

Limited Liability Company (LLC)

Corporation

Partnership

Nonprofit

Other

Requested Loan Amount(Required)

Enter an amount between $500 and $10,000.

Please enter a number from 500 to 10000.

How did you hear about this loan opportunity?(Required)

Is there anything else you would like us to know?

Owner Demographics

List proprietors, partners, officers, directors, and all holders of outstanding stock. 100% of ownership must be shown. 50% ownership must identify as BIPOC to qualify for this program. Not applicable for nonprofits.

To add additional owner information click the + button

Owner Name:

Owner Cultural Identity:

Declarations

Responding yes or no to any of the below questions does not automatically disqualify you from this loan opportunity. Decisions will be made on a case-by-case basis.

Do all business owners file personal taxes?(Required)

Yes

Unsure

Please explain why any owners do not file taxes.(Required)

Does the business file taxes?(Required)

Yes

Unsure

Please explain why the business does not file taxes.(Required)

Does the business owe any taxes from prior years?(Required)

Yes

Unsure

Please explain why taxes from previous years are owed:(Required)

Does the owner(s) listed have an ownership stake or interest in any other business(es)?(Required)

Yes

Unsure

Please describe/list any other businesses in which the owners are involved. Also, explain the nature of the involvement / ownership stake.(Required)

Example: Owner John Doe holds a 50% stake in XYZ company, a member-managed LLC.

Is the owner(s) listed above party to any judgments, suits, or litigation?(Required)

Yes

Unsure

Please explain:(Required)

Has the owner(s) listed above ever been convicted of a felony?(Required)

Yes

Unsure

Please explain:(Required)

Step One Complete

Congratulations on completing the first step in applying for the BIPOC Community Managed Loan Fund! The second and final step is to tell us your story. We are using VideoAsk to collect the information and you can submit your answers via video, audio, or text. Once you submit this portion of the application you will receive confirmation via email with instructions on your next steps. Information on Step Two: Your Business Story is also available below.

If you would like to preview or download the questions you will be asked in Step Two: Your Business Story, simply click the link below

https://bit.ly/cic-story-questions

Step One: General Information Complete(Required)

I understand that once I click "Submit Step One - General Information" that I will receive confirmation at the email address provided above, including next steps to complete "Step Two- Your Business Story", and that all parts of the application must be completed in order to be considered.

Housing for All!

Businesses that Prosper!

Schools that THRIVE!

Housing for All!

Businesses that Prosper!

Schools that THRIVE!

bipoc community managed loan fund

Application

Program Guidelines and Requirements

BIPOC Community Managed Loan Fund Application: Step One

Employees, Contractors, Volunteers

Owner Demographics

Declarations

Step One Complete

If you would like to preview or download the questions you will be asked in Step Two: Your Business Story, simply click the link below

now open!