SUBMIT YOUR PROJECT

First Name(required)

Last Name(required)

Organization Name(required)

Organization Street Address(required)

City(required)

State(required)

ZIP Code(required)

Primary Phone Number(required)

Email Address(required)

YOUR ORGANIZATION

1. Which legal structure best represents your organization?(required)

2. Please describe your organization(required)

3. Industry(required)

4. Years of Experience in Industry(required)

YOUR STORY

6. Briefly describe how you plan to use funds(required)

7. How would you describe the community impact of your project in a few words (for example: job creation, affordable housing, small business development)?(required)

8. Are you seeking refinancing for commercial real property?(required)

Yes No Unsure

9. If you answered "Yes" to the previous question, what is the address of the property? (Write "unknown" if land has not yet been secured)

10. How much financing are you seeking? ($)(required)

11. What is the total cost of the project? ($)(required)

12. How soon do you need funds?(required)

13. Have you obtained any financing from other sources at this point in time?(required)

Yes No

14. If you answered yes to question 13, please briefly describe the amount of finances obtained and the source.

ADDITIONAL INFORMATION

15. Are there any other partners involved in this project that have not already been named in this application? If so, please provide name and role below.

16. As we move forward with your CDFI financing assistance, we will need to collect additional information related to your personal/business finances and the project itself. Please review the following list and identify the documents already prepared for your application (skip any that do not apply):

17. How did you hear about CDFI Friendly Bloomington?(required)

SUBMIT YOUR PROJECT

CONFIDENTIALITY & CONSENT

GET IN TOUCH

YOUR CONTACT INFORMATION

YOUR ORGANIZATION

YOUR STORY

ADDITIONAL INFORMATION

CONFIDENTIALITY & CONSENT

GET IN TOUCH

YOUR CONTACT INFORMATION

YOUR ORGANIZATION

YOUR STORY

ADDITIONAL INFORMATION

Share this:

Like this: