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Boomin to the Bank Onboarding Form

Please complete the Onboarding Form honestly so you can be properly assisted. Your responses will also help improve the program for future participants.

Step 1 of 3

33%

Which Boomin to the Bank cohort are you onboarding for?(Required)

Basic Business Details

Name of Business(Required)

Choose Your Business Industry(Required)

Number of Years in Business (generating revenue)(Required)

The total numbers of years your business has been exchanging products/services for payments (to generate revenue)?

Number of Full-Time Employees

Number of Part-Time Employees

Number of 1099 Contractors

Do you run your business full or part time?(Required)

Full time

Part time

Current Business Structure(Required)

Sole Proprietor

LLC

Partnership

Corporation

Nonprofit

No Formal Structure

Have you established an EIN?(Required)

Yes

No

I don't know what that is or why I need it

Do you have a business plan?(Required)

Yes

No

Last Year's Revenue Total

Year to Date Revenue for This Year

Personal & Business Finance

Do you have a personal budget?(Required)

Yes

Yes, I created one but don't use it

No

How would you rate your personal credit?(Required)

Poor

Fair

Good

Very Good

Exceptional

Do you have a business budget?(Required)

Yes

Yes, I created one but don't use it

No

Have you established any business credit?(Required)

Yes

No

Have you obtained a Dun and Bradstreet number?(Required)

Yes

No

I don't know what that is or why I need one

Do you have a business bank account?(Required)

Yes

No, I Haven't Used Any Banking For My Business

No, I Am Using My Personal Bank Account For Business Transactions

I Qualify For One But Need Help

I Don't Think I Qualify For One

Do you have a relationship with a banker?(Required)

Yes

No

Are you currently bookkeeping for your business?(Required)

Yes

No

Which bookkeeping system does your business currently use?(Required)

Please do not create a new bookkeeping system during the program.

None

Excel/Sheets

Quickbooks

Wave

Xero

Other

Are you actively reconciling your books on a monthly basis?(Required)

Yes

No

Can you produce a profit and loss statement for your business?(Required)

Yes

No

Have you created sales projections for your business?(Required)

Yes

No

Have you previously applied for funding for your business?(Required)

Yes

No

What was the outcome of the loan you previously applied for?

If your loan was denied, please include the reason below.

Approved

Denied

Currently Pending

Please explain the reason for the denial.(Required)

Business Mindset & Coaching

On a scale of 1 to 5, with 1 being lack of confidence and 5 being completely confident, how confident do you feel in running your business?(Required)

1

2

3

4

5

On a scale of 1 to 5, with 1 being unsupported and 5 being completely supported, how supported do you feel in your business(Required)

1

2

3

4

5

What is one goal you want to accomplish during the program?(Required)

Business Owner Information

This section is collect data that must be reported to our grant funder for this program.

Name(Required)

First Last

Age Group(Required)

18-24 years old

25-34 years old

35-44 years old

45-54 years old

55+ years old

Race(Required)

Hispanic or Latino

American Indian or Alaskan Native

Asian

Native Hawaiian or Other Pacific Islander

Black or African American

White

Two or more races

Other

Ethnicity(Required)

Hispanic or Latino

Not Hispanic or Latino

Gender(Required)

Male

Female

Non-Binary

Transgender

Decline to State

Highest Education Level Completed(Required)

High School or Equivalent

Bachelors Degree

Masters Degree

Doctorate Degree

Please check any of the following that apply

Veteran

Disabled

SNAP recipient

Student

Single Parent

Unemployed

Household Income Level

Under $15,000

$15,000 to $24,999

$25,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $124,999

$125,000 to $149,999

$150,000 to $199,999

$200,000 and over

Household Size(Required)

# of Adults (18+) in Household(Required)

# of Children (Under 18) in Household(Required)

Shipping Address(Required)

Street Address Address Line 2 City State ZIP Code

Enter Your Email Below to Receive a Copy of Your Responses(Required)

Enter Email Confirm Email

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