Skip to content
Building Boomin Black Businesses
About Us
Boomin University
Corporate Partnerships
Contact
Menu
About Us
Boomin University
Corporate Partnerships
Contact
Boomin U Scholarship Form (New)
Boomin University Scholarship Request
"
*
" indicates required fields
Step
1
of
4
25%
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Closest Major City
*
State of Residence
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Were you invited to apply by an external partner organization?
*
Yes
No
If you were invited, which organization invited you to apply?
*
Have you attended a Boomin to the Bank Information Session?
Yes
No
Have you previously participated in and completed 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?
*
Yes
No
Maybe
What hurdles or barriers would stand in your way of completing the Boomin to the Bank program?
*
Business Information
Business Name
*
How long have you been in business?
*
Business Website (if applicable)
Estimated or Actual 2023 Revenue
*
No Revenue (just starting)
$1 - $4,999
$5,000 - $9,999
$10,000 - $24,999
$25,000 - $49,999
$50,000 - $99,999
$100,000+
YTD 2024 Revenue
*
No Revenue (just starting)
$1 - $4,999
$5,000 - $9,999
$10,000 - $24,999
$25,000 - $49,999
$50,000 - $99,999
$100,000+
Boomin Loan Screening
Does your business have a brick and mortar location?
*
Yes
No
Business Structure
*
Sole Proprietor
LLC
Corporation
Non-Profit
Partnership
No Formal Structure
Do you have a business license, incorporation documents or other documentation confirming your business structure?
*
Yes
No
I am willing to obtain documentation
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
No
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
No
Maybe
Do you have any debts 90 days or more overdue?
*
Yes
No
Maybe
Is your business related to selling tobacco, pawn shops, weapons, multi-level marketing, or adult entertainment?
*
Yes
No
Do you have a criminal conviction of a violent or financial crime?
*
No
Yes
Yes, longer than 5 years ago
Are you applying for this loan to purchase stock or equity?
*
Yes
No
Maybe
