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Client Application
Small Business Clinic (SBC)

There is a waiting list to become an SBC client. It may take several weeks for the SBC to respond to applications submissions.

This Application Form will be submitted directly to the SBC. The Application Form enables the SBC to make an initial evaluation of potential clients. Please provide as much information about your business as possible. If there is any section of the Application which does not apply to your business, just put "N/A" in the blank. If your Application is accepted, the SBC will contact you to schedule a time for a more formal intake interview.

Thank you for your interest in the SBC.

* denotes required field

Applicant Contact Information




Business Information

Have any entities (e.g. corporation, LLC, etc.) already been formed? *



Please provide the business start date or anticipated start date: *

Calendar

How many people will be involved in forming, operating and financing the business?*




Capitalization of Business

Approximately, how much money is being used to start the business?




Does Client have or plan to have more than one class of ownership? *



Will loans be made to the business by shareholders, banks or others? *



Other Legal Agreements or Matters
Project Description

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