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SBA Shaker Partnership Loan Intake Form

  1. Thank you for your interest in applying for the Shaker Partnership Loan. Completing this form is the first step in the process. Once you submit the form, a member of the City's Economic Development Dept. will be in touch. Thank you.

  2. Indicate proposed term for new location; remaining term on current location; or if the property is owner occupied.

  3. If no social media, type "none."

  4. Describe how you will use the SBA loan.

  5. Have you applied for commercial bank financing?*

  6. Have you ever had an SBA loan?*

  7. Was the loan paid off?

  8. Was it paid off on time?

  9. Select from the Participating Lender list.

  10. Indicate start up if no revenue.

  11. Certifications*

    If you would like to learn more about becoming certified, please contact Katharyne Starinsky in the City's Economic Development Dept.

  12. Projected Payroll

  13. Small Business Development Center Referral

  14. I have been explained the required consultation and referral requirements to the SBDC for technical assistance?*

  15. Do you have a preference for the SBDC you work with?*

    Download a PDF of participating SBDCs to learn more.

  16. Acknowledgements

  17. Applicant acknowledges the following:*

    You must check each box to be considered.

  18. E.g. financials, marketing materials, menu, etc.

  19. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  20. Leave This Blank:

  21. This field is not part of the form submission.