Name of Business (*)
|
Name of Business is a required field. |
First Name (*)
|
First Name is a required field. |
Last Name (*)
|
Last Name is a required field. |
Address (*)
|
Address is a required field. |
City (*)
|
City is a required field. |
State (*)
|
State is a required field. |
Zip (*)
|
Zip is a required field. |
Telephone (*)
|
Telephone is a required field. |
Other Phone
|
Invalid Input |
Email (*)
|
A valid e-mail address is required. |
Are you a WEV graduate? (*)
|
This is a required field. |
Amount and Purpose (*) What is the amount you are requesting and for what purpose? |
Amount and Purpose is a required field. |
Acceptable Collateral (*) Do you have any acceptable collateral (auto pink slip, deed of trust for home, business equipment, co-signor, etc)? If so, please describe. |
This is a required field. |
How long have you been in business? (*)
|
This is a required field. |
Your Credit (*) What is your credit score, or how is your credit generally? Any late payments, bankruptcies, etc? |
This is a required field. |
County of Residence (*) Have you resided in Santa Barbara or Ventura County for at least 1 year? If the answer is "No", you are ineligible to apply for the Loan Fund at this time. |
This is a required field. |
Bank Loan Applications (*) Have you applied for a business loan with a local bank within the last six months? |
This is a required field. |
If Yes, Which Bank(s)?
|
|
Business Plan (*) Do you have an up-to-date business plan? |
This is a required field. |
| |
Enter Code Complete this field to help us limit spam. |
 Refresh Invalid Input |
| |
|
|