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Impact and Insights
2023 Impact Report
State of Black Business Report
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Business Boost Resource Hub
Partnership
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About Us
Impact and Insights
2023 Impact Report
State of Black Business Report
Programs & Resources
Free Small Business Programs
Business Boost Resource Hub
Partnership
Donate
Contact
Capital Compass Inquiry Form
Business Name
(Required)
Name
(Required)
First
Last
Email
(Required)
Website
Are you interested in any of the following for your business? (Select all that apply)
(Required)
Applying for a Business Loan
Opening a Business Bank Account
Access to Business Resources (Workshops, mentorship, templates, etc.)
Have you participated in any of the following business support programs? (Select all that apply)
Boomin University
Corner to Corner
Nashville Business Incubation Center
Nashville Entrepreneur Center
Twende (Offered by NEC)
Are you interested in participating in support programs to learn more about any of the following topics? (Select all that apply)
(Required)
Personal Finance (Budgeting, credit repair, savings strategies, etc.)
Business Finance (Bookkeeping, financial statements, tax planning, etc.)
Business Planning (Creating or refining your business plan)
Marketing (Branding, social media, digital marketing, etc.)
Funding Opportunities (Learning how to access grants, loans, and investment options)
Networking & Mentorship (Connecting with other business owners and mentors)
I’m not interested at this time
Are you interested in receiving free coaching in any of the following areas? (Select all that apply)
(Required)
Business Coaching (Guidance on strategy, growth, and operations)
Personal Finance Coaching (Budgeting, credit management, and savings strategies)
Business Financial Coaching (Bookkeeping, financial statements, and tax planning)
I’m not interested at this time
Business Details
What kind of business do you operate?
(Required)
Brick-and-Mortar (Physical store or office location)
Online Only (E-commerce or virtual services)
Home-Based (Operated from your residence)
Hybrid (Combination of physical and online presence)
Business Address
(Required)
Street Address
Address Line 2
City
State
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
ZIP Code
Home or Virtual Office City
(Required)
Home or Virtual Office Zip Code
(Required)
What stage is your business currently in?
(Required)
Idea Stage (You have a business concept but haven't launched yet)
Startup Stage (Your business is newly launched and may not yet be generating revenue)
Early Revenue Stage (Your business is generating some revenue but is not yet profitable)
Growth Stage (Your business is generating consistent revenue and actively scaling)
Established Stage (Your business is stable, profitable, and expanding)
Years in Business
(Required)
Less than 1 year
1 year – 2 years
3 years – 5 years
6+ years
Business Structure
(Required)
Single Member LLC
Multi Member LLC
Sole Proprietor
S-Corp
C-Corp
Partnership
Non-Profit
Other
Industry
(Required)
Accounting/Finance
Advertising/Public Relations
Aerospace/Aviation
Arts/Entertainment/Publishing
Automotive
Banking/Mortgage
Business Development
Business Opportunity
Clerical/Administrative
Construction/Facilities
Consumer Goods
Customer Service
Education/Training
Energy/Utilities
Engineering
Government/Military
Green
Healthcare
Hospitality/Travel
Human Resources
Installation/Maintenance
Insurance
Internet
Job Search Aids
Law Enforcement/Security
Legal
Management/Executive
Manufacturing/Operations
Marketing
Non-Profit/Volunteer
Pharmaceutical/Biotech
Professional Services
QA/Quality Control
Real Estate
Restaurant/Food Service
Retail
Sales
Science/Research
Skilled Labor
Technology
Telecommunications
Transportation/Logistics
Other
If you chose other, please describe your industry.
(Required)
What was your business revenue in 2024?
(Required)
$0 – $9,999
$10,000 – $24,999
$25,000 – $49,999
$50,000 – $99,999
$100,000 – $249,999
$250,000 – $499,999
$500,000 – $999,999
$1,000,000 or more
Number of Employees (including owner)
(Required)
1
2-5
6-10
10+
Loan Details
Desired Loan Amount
(Required)
$1000-$5000
$5000-$10,000
$10,000-$20,000
$20,000-$50,000
$50,000-$100,000
$100,000+
What is the intended use of the loan funds? (Select all that apply)
(Required)
Equipment Purchase
Inventory Purchase
Marketing & Advertising
Hiring Staff or Payroll
Working Capital (Day-to-Day Expenses)
Business Expansion (New Location, Scaling Operations, etc.)
Technology or Software Upgrades
Renovations or Improvements
Debt Consolidation
Other
If you chose other, please describe loan use.
(Required)
Financial Information
Can you present a balance sheet for your business?
(Required)
Yes
No
Can you present a profit and loss statement for your business?
(Required)
Yes
No
Can you present tax returns for your business?
(Required)
Yes
No
No, I can present tax returns for one year
Do you currently have a business bank account?
(Required)
Yes
No
Do you currently have any business debt?
(Required)
Yes
No
How would you rate your personal credit?
(Required)
Excellent (750+)
Good (700-749)
Fair (600-649)
Poor (Below 600)
Not Sure
Additional Information
Do you have any additional comments or concerns?
Agreement & Submission
I confirm that all the information provided is accurate and I understand that this form is for interest only and does not guarantee loan approval.
(Required)
Signature
(Required)
