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Business Guide
Henderson Small Business Assistance
Funding
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Nevada State SSBCI Small Biz Funding Match
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Step
1
of 5
Section 1: Applicant Information
1.1. Business Name:
*
1.2. Business Address (Principal Place of Business in Henderson):
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
1.3. Business Structure (Sole Proprietorship, LLC, Partnership, Corporation)
*
Sole Proprietorship
LLC
Corporation
1.4 Applicants Name
*
First
Last
1.5 Title
*
1.6 Business Phone:
*
1.7 Email Address:
*
1.8 Website (if applicable):
Next
Section 2: Business Overview
2.1. Type of Business (e.g., finance, marketing, e-commerce, etc.):
*
Finance
Marketing
E-Commerce
Other
2.2 Is your business a non-profit business?
*
Yes
No
2.3 Briefly describe your business (products, services, mission, etc.):
*
2.4 How many years has your business been operating in Henderson?
*
2.5 Annual Revenue (approximate):
Annual Revenue - 2020
*
Annual Revenue - 2021
*
Annual Revenue - 2022
*
2.6 How many employees do you have?
Full-Time Employee(s)
*
Part-Time Employee(s)
*
1099/Contractor(s)
*
2.7 Is your business minority-owned, woman-owned, or veteran-owned?
*
Yes
No
Next
Section 3: Eligibility
3.1 Have your business generated at least $50,000 annually but not more than $700,000 in revenue in the past year?
*
Yes
No
3.2 Do you have a business plan?
*
Yes
No
3.3 Have you had your principal place of business in the City of Henderson for at least 2 years?
*
Yes
No
3.5 Please describe how your business actively engages with the local community or contributes to the betterment of the City of Henderson. This may include participation in community events, support for local charities, job creation, or any other activities that positively impact the city. (Max 200 words)
*
Next
Section 4: Deserving Business Questions
4.1 Why do you believe your small business deserves to be selected for the Henderson Small Business Assistance Program? Please describe the unique qualities or circumstances that make your business stand out. (Max 300 words)
*
4.2 What specific challenges or opportunities do you see for your business that you hope to address with the assistance provided by the program? (Max 200 words)
*
4.3 Where do you see your business in the next 2-5 years, and how will the Henderson Small Business Assistance Program help you achieve those goals? (Max 200 words)
*
Next
Section 5: Additional Information
5.1 Have you previously participated in any mentorship/consulting programs?
*
Yes
No
If you answered yes above, please provide details:
5.2 How did you hear about the HSBA Program?
*
Submit
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