Boomin University Program Application

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Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Closest Major City*

State of Residence*

Were you invited to apply by an external partner organization?*

Yes

If you were invited, which organization invited you to apply?*

Have you attended a Boomin University Information Session?*

Yes

Which Boomin U program(s) are you applying for?*

Boomin to the Bank

Boomin Marketing

Ready to Boom - Memphis

Ready to Boom - Chattanooga

Have you previously participated in any of the following Boomin U programs?*

Boomin to the Bank

Boomin Marketing

Ready to Boom

None of the above

Are you interested in obtaining a business loan of up to $15,000?*

Business Information

Business Name*

Please provide a short business description.*

How long have you been in business?*

Less than 1 year

Between 1 year and 3 years

Between 3 years and 5 years

More than 5 years

Business Website (if applicable)

2023 Revenue*

YTD 2024 Revenue*

Business Structure*

Program Commitment

Can you invest 4 hours per week for classes, coaching, coursework, and strategy implementation to help your business grow?

Yes, absolutely

Yes, I think so

It may be difficult

What would be your biggest hurdle to completing any Boomin U programs you are selected for?*

What do you hope to gain from participating in the Boomin to the Bank program?*

What do you hope to gain from participating in the Boomin Marketing program?*

What do you hope to gain from participating in the Ready to Boom program?*

Boomin Marketing Application Questions

Do you have at least one active social media page for your business?*

Yes

Do you have an active website for your business?*

Yes

Boomin to the Bank Application Questions

Do you have a business bank account?*

Yes

No, I use my personal account for business transactions

Are you currently bookkeeping for your business?*

Yes

What tools/software are you using for bookkeeping?*

Quickbooks

Wave

Xero

Spreadsheets

Something Else

Does your business currently have an Employer Identification Number (EIN)?

Yes

Ready to Boom Application Questions

Is your business positioned to do business with government entities and corporations?

Yes

Maybe

Do you have a current business plan?

Yes

I have an outdated business plan

Boomin Loan Screening

Do you have a business license, incorporation documents or other documentation confirming your business structure?*

Yes

I am willing to obtain documentation

How would you rate your personal credit?*

Poor

Fair

Good

Excellent

Have you ever filed bankruptcy?*

I have not filed bankruptcy

I have filed bankruptcy

I have filed bankruptcy but it has been discharged/dismissed

Are you applying for this loan to refinance current debt?*

Yes

Maybe

Do you have any debts 90 days or more overdue?*

Yes

Maybe

Is your business related to selling tobacco, pawn shops, weapons, multi-level marketing, or adult entertainment?

Yes

Do you have a criminal conviction of a violent or financial crime?*

Yes

Yes, longer than 5 years ago

Are you applying for this loan to purchase stock or equity?*

Yes

Maybe