5x5x5 Application Form

Step 1 of 5

20%

Contact Information

Yes
No

Step 2 of 5

40%

Founder Information ( Owner )

Under 25

25-35

36-49

50-64

65+

Prefer not to answer

65+

This owner works 40+ hours per week in the business.
This owner works 10-25 hours per week in the business.
This owner works less than 10 hours per week in the business.
This owner does not work in the business.
Yes
No

Step 3 of 5

60%

Business Information

Sole Propriator
S Corporation
C Corporation
Limited Liability Company
None of the Above
Accomodations

Constructions

Finance

Food Service

Health Care

Insurance

Manufacturing

Real Estate

Rental and Leasing

Retail

Social Assistance

Transportation

Warehouse

Whole Sale

Education (K-12)

Higher Education

Government

0
1 - 4
5 - 9
10 - 24
25 - 29
100+
Operations Agreement
Shareholder Agreement
Partnership Agreement
None
Not applicable to my business
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Yes
No

Step 4 of 5

80%

Past Funding


Funding Goal and Request

Step 5 of 5

100%

Business Model and Growth

I am evaluating a business idea for viability
I launched my business but have not made any sales yet
I am running my business and started making sales within the last 12 months
I have been running my business and making sales for more than 12 months
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