SBA Debt Relief Microloan Inquiry Form - Entrepreneurship Center @CTI
Thanks for your interest in the Entrepreneurship Center @CTI's SBA Debt Relief Microloan product.
As part of the SBA Debt Relief program, the SBA will make the first six payments on all SBA loans that close before September 27, 2020.

Please complete the following form to help us determine your eligibility for our loan program's & provide you with appropriate recommendations and referrals to help you start, grow or finance your business. Once you've completed this form, the Zoom Meeting ID will appear at the bottom of this page for your reference as well as being sent to your email. Please note there may be other participants.


We offer assistance in English and Spanish.
Email address *
First Name *
Last Name *
Personal Contact Number (where you can receive texts) *
Business Name *
Are you funding new business or existing business? *
Required
If an existing business, have you already applied for EIDL or PPP loans? *
I operate my business within Middlesex or Essex county *
Which Fund Are You Interested In? *
Required
If new business, do you need assistance with a business plan? FYI: a business plan is required for an SBA loan, however, we can accept a lean business plan and a comprehensive marketing/sales plan in lieu of a full business plan. *
Required
If new business, do you need assistance with cash flow projections? FYI: one year cash flow projections are required for an SBA loan. *
Required
Desired SBA loan amount - FYI - SBA loans max at $50,000 *
Based on your business plan and cash flow projections, how do you intend to use the SBA loan funds? *
Would you describe your credit history as Excellent, Good, Fair, Poor, or Very Poor? *
Business Email *
Business Address *
Business Phone *
Business Zip Code *
Business Website (or desired url if you haven't purchased yet) *
Business Google Page
Business Facebook Page (or intended name if not signed up yet) *
Business Instagram (or intended handle if you haven't signed up yet)
Business Twitter Handle
Personal Address *
Personal Zip Code *
Sex *
Required
Date of Birth *
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Are you a U.S. Citizen? *
Required
Are you veteran? *
Required
Do you describe yourself as an immigrant to the U.S.? *
Required
Country of origin *
Date of US entry
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DD
/
YYYY
Green Card?
What is your ethnicity *
Required
I am at least 18 years of age *
I have NOT been in foreclosure in the last 24 months *
I have been discharged from bankruptcy for over 12 months (or have never declared bankruptcy) *
I am NOT involved in any pending lawsuits *
NONE of the associates of my business, including myself, are presently under indictment, on parole or probation for a felony or crime of moral turpitude. (CORI Check May be Conducted) *
I have NEVER been charged with, convicted of, put on probation or adjudication, placed on pretrial diversion, or arrested for any criminal offense other than a minor motor vehicle violation (including offenses which have been dismissed, discharged or nolle prosqui.) (CORI Check May be Conducted) *
NONE of the associates of my business, including myself, are over 60 days delinquent in child support *
My business does NOT principally engage in teaching, counseling, or indoctrinating religious beliefs *
My business does NOT present live performances of prurient sexual nature, nor does it derive more than 5% of gross revenue through the sale of products or services or presentation of any depictions or displays of a prurient sexual nature *
My business does NOT derive more than 1/3 of its gross annual revenue from legal gambling activities *
My business does NOT engage in political or lobby activities *
My business is NOT a government-owned entity *
My business is NOT primarily engaged in the business of lending, including pawn shops *
My business does NOT limit membership for any reason other than capacity *
My business is NOT a pyramid/multi-level marketing sale distribution company *
NONE of the associates of my business, including myself, are undocumented (illegal) aliens *
I have tried to get a business loan at my bank but have been unsuccessful *
I understand collateral and/or a cosigner may be required for E-Center loan products *
I am up-to-date on all personal and business tax obligations (Federal, State and City/Town) *
I utilize business accounting software *
I have a Business Bank Account *
I have a Personal Bank Account *
DISCLAIMER: All Services and Documents are provided by the Entreprenuership Center @CTI on an "as is" and "as available" basis without any express or implied warranties, representations, or guarantees of any kind, including, but not limited to, any of merchantability, fitness for a particular purpose, title or non-infringement, or arising from course of dealing, trade, or performance. *
LIMITATION OF LIABILTIY: Neither the Entrepreneurship Center @CTI or its employees or directors (the "E-Center Parties") shall be liable for any special indirect, consequential, incidental, punitive or exemplary damage. In no event shall the E-Center liability to the client, even for direct damages, exceed $100. The client must bring any claim against the E-Center Parties within one (1) year of the event giving rise to the client's cause of action, and failure to do so nullifies the claim *
ENEWS: I agree to allow the E-Center to add my name and email address to the e-news list so that I can receive important updates via email *
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
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