Small Business Support Program Application  

Welcome! This application is designed to help us determine your eligibility to receive business support services. Visit MIsmallbusiness.org for more detailed information regarding the Small Business Support Program.

Questions or need assistance? Please contact smallbusiness@annarborusa.org

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First name  *
Last name *
Business name (if you have one) 
What's your current business revenue? *
What's your business type? Eligible small businesses must be a for-profit business (or plan to start a for-profit business). *
Has your business been registered in LARA? (please skip question if not yet formed)
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Date Established (please skip question if not yet formed). If you are unsure, please provide your best estimate.
MM
/
DD
/
YYYY
LARA Identification Number (please skip question if not yet formed or unsure)
How many employees or staff do you currently have (including yourself)? For example, for one full-time employee and one part-time employee, the response would be: 1.5. *
How many full time jobs do you reasonably expect to create in your business in the next year? This number will NOT impact your acceptance to the program. For example, if you have not started your business yet but plan to work full-time or part-time on your business, you may put .5 or 1 to indicate yourself as a future employee.
Please provide a brief description of your business's products or services *
Cell phone
 *
Work phone 
Preferred email address
 *
Business website (if you have one)
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